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Hepaticojejunostomy for bile duct injury: state of the art

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Abstract

Background

Hepaticojejunostomy (HJ) is the gold standard procedure for the reconstruction of the bile duct in many benign and malignant situations. One of the major situation is the bile duct injury (BDI) after cholecystectomy, either for early or late repair. This procedure presents some specificities associated to a debated management of BDI.

Purpose

This article provides a state-of-the-art of the hepaticojejunostomy procedure focusing on bile duct injury including its indications and outcomes

Conclusion

Performed at the right moment and respecting the technical rules, HJ provides a restoration of the biliary patency in the long term of 80 to 90%. It is the main surgical technique to repair BDI. Complications and failure of this procedure can be difficult to manage. That is why the primary repair requires an appropriate multidisciplinary approach associated with an expert high quality surgical technique.

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Abbreviations

BDI:

Bile duct injury

OC:

Open cholecystectomy

LC:

Laparoscopic cholecystectomy

HPB:

Hepato-pancreato-biliary

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Acknowledgements

The authors would like to thank Ms. E. Faherty, English native speaker, for the English checking of this manuscript.

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Study conception and design: AM, LC. Acquisition of data: AM, LC. Analysis and interpretation of data: AM, LC. Drafting of manuscript: AM, LC, JPA, CL. Critical revision of manuscript: AM, LC, JPA, CL

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Correspondence to L. Chiche.

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Marichez, A., Adam, JP., Laurent, C. et al. Hepaticojejunostomy for bile duct injury: state of the art. Langenbecks Arch Surg 408, 107 (2023). https://doi.org/10.1007/s00423-023-02818-3

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