Roux-en-Y hepaticojejunostomy technique
Biliary Reconstruction Techniques
Overview of Roux-en-Y Hepaticojejunostomy
- The video discusses the biliary reconstruction technique commonly used in patients undergoing bile duct resections, specifically focusing on the Roux-en-Y hepaticojejunostomy.
- It outlines the steps involved in creating a Roux limb and performing an anastomosis to the common hepatic duct.
Steps in Creating a Roux Limb
- The jejunum is divided approximately 15 to 20 centimeters downstream from the ligament of Treitz, marking the beginning of the procedure.
- The proximal section post-division is referred to as the afferent limb, while the distal section becomes known as the efferent limb, which will ultimately form the Roux limb.
- A length of 40 centimeters is measured from the cut end of the efferent bowel for proper alignment during anastomosis.