ABSTRACT
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.
Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.