Step-by-step Surgery - Roux-en-Y hepaticojejunostomy -benign biliary stricture(post cholecystectomy)
Roux-en-Y hepaticojejunostomy is a tricky surgery and its success depends heavily on the correct level of anastomosis as well as the understanding of the anatomical basis of bile duct resection. This video gives the basics of biliary-enteric anastomosis and then with the help of a line diagram explains the technique for hepaticojejunostomy in a side-to-side configuration. This is followed by a surgical demonstration of the same technique by Dr. Prasad Wagle, our mentor, and director of Edusurg Clinics, a senior consultant hepatobiliary surgeon at Lilavati hospital, Mumbai, Maharashtra, India, who has years of experience in handling tough post-cholecystectomy biliary injury cases referred to the hospital, being a tertiary center.
The dictum says that: the first repair is the best chance at a good repair and this technique of diamond-shaped hepaticojejunostomy ensures a wide anastomosis to reduce stricture incidence after surgery.
The basis of this surgery is explained in this video followed by step-by-step explanation and demonstration of the surgical technique.