The investigators developed a new surgical technique in order to reconstruct the bile duct with the round ligament
Classically, the bile duct defect after bile duct injury or resection is achieved by bilioenteric reconstruction. However bilioenteric anastomosis is associated with long term complications including intrahepatic bile ducts infection, specific complications related to the Roux en Y jejunal loop and eliminate the endoscopic access to intrahepatic bile ducts. The investigators had recently developed a new surgical technique to reconstruct the veins with the parietal peritoneum with excellent results. Accordingly the investigators decided to develop a new surgical technique in order to reconstruct the bile duct defects with the vascularized round ligament.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
In patients who had bile duct defect by injury or resection, the Round ligament will be used to reconstruct the defect. Surgical technique, the early and long term postoperative measures are detailed in the investigators protocol.
Departement HPB surgery, Beaujon Hospital
Clichy, Hauts de seine, France
RECRUITINGSafety - absence of any severe complication or mortality related to the new procedure
Safety is defined by the absence of any severe complication (necrosis or biliary fistula) or mortality related to the new procedure.
Time frame: at 1 year
Bile buct patency
Secondary outcome include mainly the patency of the reconstructed bile duct.
Time frame: at 3 year
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.