Hepaticocholecystoenterostomy

Hepaticocholecystoenterostomy: Surgery to restore bile flow

Hepaticocholecystoenterostomy is a surgical procedure performed to restore normal flow of bile from the liver to the intestines. The term hepaticocholecystoenterostomy comes from the Greek words hepatico-, chole (bile), kystis (bladder), enteron (intestine) and stoma (orifice).

Bile, produced by the liver, plays an important role in the digestion process as it helps break down fats and absorb fat-soluble vitamins. But sometimes the bile ducts can be diseased or injured, which leads to disruption of the outflow of bile and its accumulation in the liver. As a result, the patient may develop jaundice, abdominal pain and other symptoms associated with impaired liver function.

Hepaticocholecystoenterostomy is performed to restore normal bile flow. During the operation, the surgeon creates an artificial opening between the hepatic duct and the intestine, bypassing the gallbladder. This allows bile to flow directly from the liver into the intestines, bypassing the gallbladder. Thus, the operation ensures normal outflow of bile and improves liver function.

Hepaticocholecystoenterostomy may be necessary in the following cases:

1. Bile duct obstruction: If the bile ducts become blocked by disease, tumors, or gallstones, a hepaticocholecystoenterostomy may be performed to bypass the blockage and restore the flow of bile.

2. Traumatic injuries: After an injury that damages the bile ducts or gallbladder, hepaticocholecystoenterostomy may be necessary to restore normal bile flow.

3. Gallbladder disease: If the gallbladder has pathologies, such as a tumor or inflammation, and its removal is undesirable or impossible, a hepaticocholecystoenterostomy may be performed to bypass the gallbladder and maintain normal bile flow.

Hepaticocholecystoenterostomy can be performed either as an open surgical procedure using a traditional approach or through laparoscopy, which allows the operation to be performed using small incisions and special instruments.

After surgery paci

Hepatico-cholecyst-oentostomy for terminal ileosigmoidostomy A in a patient with colon cancer Acute necrosis of the right lobe of the liver And has been the leading operation for intrahepatic cholestasis caused by a tumor for many decades. However, ongoing progress in liver transplantation necessitates the development of new and modernization of existing intervention methods, such as extended pancreaticoduodenectomy, laparoscopic liver resections and bile duct interventions. This is precisely the process that resulted from hepatocholedochostomy, which was common in the past.

Hepatochole-docho-enterostomy is a combined anastomosis between the extrahepatic bile ducts of the liver (by creating an external biliary fistula), the intestine and the proper hepatic artery. Surgical treatment of gastrointestinal cancer tends to be aggressive, but absolute indications for radical volumetric surgery for abdominal cancer are quite rare. And in this sense, chronic obstructive jaundice may not be considered an indication for emergency