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Application of “Sandwiched T Tube” in Repairing Iatrogenic Right Accessory Hepatic Duct Injury



Objective: To summarize and present the application of sandwiched T tube in repairing the iatrogenic right accessory hepatic duct injury.

Methods: We retrospectively analyzed the clinical data of 8 patients who were diagnosed with iatrogenic right hepatic duct injury from 2005 to 2012 in Hunan Provincial People's Hospital, Changsha, China. When patients were diagnosed with the right accessory hepatic duct injury, their right accessory hepatic duct and the residual end of ductus cysticus are anastomosed end to end, and then the sandwiched T tube was employed to provide support for the anastomotic site. Subsequently, the umbilical vein patch and medical adhesive wound closure were used to cover the anastomotic site.

Results: After surgery, patients did not suffer from postoperative complications such as bile leakage and intra-abdominal infections in the short term and such as bile duct inflammation and bile duct stenosis in the long term.

Conclusion: The application of sandwiched T tube was a simple and practical method to handle the iatrogenic right accessory hepatic duct injury.

07 Dec, 2015
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e-Published: 18 Feb, 2016


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