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Choledochoduodenostomy: simple side‐to‐side anastomosis
Author(s) -
Aramaki Masanori,
Ikeda Masahito,
Kawanaka Hirofumi,
Nishijima Naomi,
Tsutsumi Norifumi,
Kano Tadashi
Publication year - 2000
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s005340070019
Subject(s) - medicine , anastomosis , duodenum , common bile duct , surgery , cholecystectomy , posterior wall
Choledochoduodenostomy, using a simple side‐to‐side anastomosis technique, was performed in a 74 year‐old woman with common bile duct stones. She had chronic heart failure and chronic obstructive lung disease. The choledochoduodenostomy was performed with a cholecystectomy. A 2‐cm‐longitudinal incision was made in the common bile duct, and an adjacent longitudinal incision was made in the first portion of the duodenum. The first sutures to be placed were the two corner sutures of the posterior anastomotic wall. Then the two sides were sutured, one from the hepatic side corner of the common duct to the anal side corner of the duodenum, and the other from the duodenal side corner of the common duct to the oral side corner of the duodenum. This anastomosis was performed with one layer of interrupted 4‐0 adsorbable sutures. The anterior wall of the anastomosis was constructed in a similar manner. The patient recovered uneventfully, and had no complaints of abdominal pain or fever. This procedure, our original method, is techni‐cally simple and safe, and results in minimal tension of the anastomosis.