Hepaticostomy (Hepaticostomy)

Hepaticostomy is a surgical operation that involves creating a temporary or permanent opening in the common hepatic duct through which bile is drained from the liver.

The reason for a hepaticostomy may be obstruction or narrowing of the common bile duct due to a tumor, stones, or scar tissue. The purpose of the operation is to ensure the outflow of bile from the liver and prevent the development of jaundice, cholangitis and liver failure.

During the operation, the surgeon finds the common hepatic duct and performs an anastomosis on it, connecting the duct with the tube brought out. This may be a temporary measure to restore patency of the duct, or a permanent solution if the cause of the obstruction cannot be eliminated.

Hepaticostomy helps prevent complications associated with impaired bile outflow. The operation can be performed either open or laparoscopically. In the postoperative period, it is necessary to monitor the patency of the anastomosis and prevent infectious complications.



Hepaticostomy: Introduction to the Surgical Procedure

Hepaticostomy is a surgical procedure that involves creating a temporary or permanent opening in the common hepatic duct to allow bile to flow out of the liver. This procedure may be necessary to treat certain liver-related conditions or to relieve symptoms caused by obstructed bile flow.

Bile, produced by the liver, plays an important role in digestion, helping to break down fats and absorb nutrients. Typically, bile is secreted into the bile ducts and then enters the intestines, where it participates in the digestion process. However, with some diseases, such as obstruction of the bile ducts or liver tumors, there may be an obstruction to the normal outflow of bile.

A hepaticostomy can be performed to relieve this obstruction by creating an opening in the hepatic duct. This hole may be temporary or permanent, depending on the characteristics of the disease and medical need. During surgery, the surgeon makes a small incision on the surface of the liver and creates communication between the hepatic duct and the outside environment, usually using a drainage tube or catheter.

Hepaticostomy can be used in a variety of clinical situations. It may be useful in the treatment of certain liver diseases, such as liver cancer or abscesses, where facilitating the flow of bile can help control the infection and improve the patient's overall condition. In addition, hepaticostomy may be a temporary measure used before other liver surgeries when temporary bile drainage is necessary to prepare the patient for more complex operations.

After hepaticostomy, patients usually require regular medical monitoring and care. The drainage tube or catheter used to drain bile must be properly maintained to prevent infections and other complications. In the case of permanent hepaticostomy, patients may also require special diet or medication support to maintain normal liver function and relieve symptoms.

Although hepaticostomy is a relatively safe procedure, it is not without risks and complications. As with any surgery, there may be bleeding, infection, damage to surrounding tissue, and unexpected reactions to the anesthesia. A competent and experienced surgeon and medical team play a key role in the safe and effective performance of hepaticostomy.

In conclusion, hepaticostomy is a surgical procedure that can be used to facilitate the flow of bile from the liver in certain diseases or as a preparatory step before other liver surgeries. It provides the opportunity to temporarily or permanently create an opening in the common hepatic duct, allowing bile to flow freely. Hepaticostomy requires medical supervision and care after surgery to prevent complications and ensure optimal liver function. The risks and benefits of hepaticostomy should be carefully assessed by a healthcare professional before deciding to undergo the procedure.



hepatitis

A surgical procedure to create a temporary or permanent connection between the bile ducts of the liver and the external (i.e. extrahepatic) biliary tract

Hepaticojejunostomy is a type of connection between parts of the intestine and the gallbladder or liver bile