Reoperation after Roux-en-Y cholangioenterostomy with hilamrieture of anastomotic stoma:a report of 15 cases

Objective To study the management of anastomotic stoma reconstruction after Roux-en-Y cholangioenterostomy with hilamrieture of anastomotic stoma.Methods A retrospective analysis was made on the clinical data of 15 patients who underwent reoperation after Roux-en-Y cholangioenterostomy with hilamrieture of anastomotic stoma from February 2007 to November 2010.Results All the 15 patients were accepted reoperation.After dismantling the primary anastomosis, 7 were subjected to portal hepatic cholangio-jejunostomy, 6 were subjected to common hepatic duct cholangio-jejunostomy, 1 to right and left hepatic duct cholangio-jejunostomy after side lobe resection and 3 to hepatic left lateral lobectomy.The follow-up of 15 patients averaged 3 3.2 months, showed that 1 patient had bile leakage and 3 patients still had cholangitis, .Conclusion The skills for revealing the primary anastomotic are the key to high position cholangioenterostomy.Individualized surgical program is needed in the reoperation.