Laparoscopic hepaticojejunostomy

Laparoscopic hepaticojejunostomy is a minimally invasive surgical procedure used to create a connection between the bile duct (hepatic duct) and the small intestine (jejunum). This procedure is typically performed to bypass a blockage or stricture in the bile duct, allowing bile to flow into the intestine. It's a complex surgery that requires specialized laparoscopic skills

What it is:

Hepaticojejunostomy:

A surgical connection between the hepatic duct (bile duct) and the jejunum (part of the small intestine).

Laparoscopic:

Performed using a minimally invasive approach, with small incisions and specialized instruments, including a camera.

Why it's done:

Biliary Obstruction:

To bypass blockages or strictures in the bile duct, often caused by:

• Choledochal cysts.
• Mirizzi syndrome.
• Benign biliary strictures.
• Multiple bile duct stones (especially in patients with sickle cell anemia).

Palliative Care:

In cases of advanced pancreatic cancer or other conditions where the bile duct is obstructed, it can provide palliative drainage.

Benefits of the laparoscopic approach:

• Reduced Trauma : Minimally invasive approach leads to less tissue damage, reduced pain, and faster recovery.
• Shorter Hospital Stay : Patients typically experience shorter hospital stays compared to open surgery.
• Improved Cosmetic Results : Smaller incisions result in less scarring

In summary, laparoscopic hepaticojejunostomy is a valuable minimally invasive technique for addressing various conditions causing bile duct obstruction, offering potential benefits over traditional open surgery.