A Retrospective Study of Mechanical Hepaticojejunostomy: Can We Use a Circular Stapler as a Viable and Safe Alternative?
Background: Some writers have described the use of mechanical staplers to establish anastomosis in biliary surgery since the early 1980s. However, in the following decades, the usage of these devices did not proliferate, and most centres still perform hand-sewn anastomosis. Methods: We used medical records, surgical registries, and computer-assisted databases to acquire information about the use of mechanical circular staplers for the establishment of hepaticojejunostomy at our institution. Results: Between 2012 and 2020, our hospital performed 11 stapled hepaticojejunostomies for both neoplastic and non-neoplastic illnesses. The patients were on average 74 years old, with 5 men and 6 women in the group. Prior to surgery, the average bile duct diameter was 19 mm. In preoperative blood samples, total bilirubin was 6.95 mg/dL. There were no issues. Throughout the treatment Two patients (18%) experienced minor postoperative problems (1 wound dehiscence and 1 episode of melena requiring blood transfusions), but no serious complications occurred. In none of the patients were there any biliary fistulas or anastomotic dehiscence. No one dies within 30 days of surgery. After surgery, the average length of stay was 13 days. Conclusions: Based on our limited experience, stapled hepaticojejunostomy appears to be a safe and successful operation in chosen individuals.
Unit of General Surgery, Azienda USL di Ferrara, Ferrara, Italy
View Book :- https://stm.bookpi.org/HMMR-V12/article/view/1381