Objective:To explore the therapeutic effect of choledochojejunostomy with a subcutaneous blind loop of interposed jejunum for treating postoperative residual biliary stones.
Methods :The clinical data of 72 cases of choledochojejunostomy with subcutataneous blind loop of interposed jejunum were retrospectively analysed.
Results:After exploration of distal common bole duct, and when a No. 8-10 bougie could pass through the sphincter of Oddi, a 10-15 cm segment of jejunum with its vascular pedicle was mobilized, and an end to-side choledochojejunal anastomosis was performed at the proximal side of the jejunal segment and its distal end was converted to a blind loop and fixed subcutaneously to relevant abdominal wall. A T-tube for external drainage was inserted across the choledochojejunal anastomosis and exited through the blind jejunal loop.Seventy-two patients were cured without any complication or mortality.
Conclusions:The procedure is simple and minimally invasive, so that it could be carried out very easily and quickly by general surgeons with basic choledochojejunostomy skill.