Twenty one cases of hepatocholelithiasis treated through hepatic round ligament approach for hepaticojejunostomy is reported. Of them 5 were introgenic injury to the biliary tract， 8 were left hepatolithiasis (7 complicated with bile duct stricture), 2 were intrahepatic sandy stone with acute suppurative cholangeitis, and 3 were residual stone in left hepatic duct with cystlike dilatation after T-tube drainage; while traumatic injury to the biliary passages, previous multiple biliary tract operations and left hepatic duct stone with acute hemorrhage were present in one of case individually 75.9% each. The ages of the patients were between 32 to 50 years. Clinical follw-up in this series was satisfactory. The authors consider that this approach gives good exposure with little injury to the liver and no liver resection needed. The indication for this approach mode of anastomosis and some operative details are discussed.
Citation：
王秉成,袁桂民. INTRAHEPATIC CHOLEDOCHOJEJUNOSTOMY THROUGH ROUND LIGAMENT APPROACH (REPORT OF 21 CASES). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1998, 5(2): 90-91. doi:
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Puente SG, MD F.A.C.S, Guillermo C, et al. Radiological anatomy of the biliary trat: variations and congenital abnormalities. World J Surg, 1983; 7(2)∶271.
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Blumgart LH, Kelley CJ. Hepaticojejunostomy in benign and malignant high bile duct stricture: approaches to the left hepatic duct. Br J Surg, 1984; 71(4)∶257.
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- 1. Dudlcy SF. Biliary decompression in hilar obstruction (round lig approch). Arch Surg, 1979; 114(4)∶519.
- 2. 严桂民，艾寿坤，吴先国等. 以肝圆韧带为标志的肝左叶内胆管表面定位及临床应用.中国临床解剖学杂志， 1994； 12(2)∶118.
- 3. 刘永锋，徐恩多. 肝内胆管的外科解剖. 实用外科杂志，1985；5(4)∶183.
- 4. 第三军医大学附属一院胆道外科编写组. 胆道外科. 第1版. 北京：人民卫生出版社， 1976∶17～26.
- 5. Puente SG, MD F.A.C.S, Guillermo C, et al. Radiological anatomy of the biliary trat: variations and congenital abnormalities. World J Surg, 1983; 7(2)∶271.
- 6. Blumgart LH, Kelley CJ. Hepaticojejunostomy in benign and malignant high bile duct stricture: approaches to the left hepatic duct. Br J Surg, 1984; 71(4)∶257.
