The Hepaticojejunostomy Technique with Intra-Anastomotic Stent in Biliary Diseases and Its Evolution throughout the Years: A Technical Analysis

Figure 1

Dissection and division of the extrahepatic bile duct to the level of the biliary confluence of the right and left hepatic ducts at the hilum. Stay sutures with atraumatic needle placed in the stumps of each hepatic duct. The mucosa of the jejunal limb orifice is slightly inverted, using four PDS 5-0 interrupted sutures. Note that the circumference of the duct is , so the bites have to be  mm. So this anastomosis can be done with 6 stiches (assuming you put your stiches with a step of 4 mm).