{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T07:14:58Z","timestamp":1773299698202,"version":"3.50.1"},"reference-count":23,"publisher":"Index Copernicus","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2017,8,31]]},"abstract":"<jats:p>Background: Bile leaks and anastomotic strictures are important complications of hepaticojejunostomy (HJ). Evidence suggests that the use of hepatic round ligament (HRL) to buttress HJ may be beneficial. This study evaluates the feasibility of this approach. Methods: HJs performed over 2 years (Jun 2014- May 2016), with HRL reinforcement, were analyzed. Operative outcomes measured included technical difficulty, blood loss, time necessary for flap harvest, and reinforcement of HJ. The postoperative outcomes measured were the presence of bile leak and anastomotic stricture. Results: Forty-one patients (27 M: 14 F), aged 2-79 years, median age of61 years, underwent HJ with HRL buttress; 27 for periampullary\/ head of the pancreas carcinoma; 4 for choledochal cysts; 4 for chronic pancreatitis; 3 for gallbladder carcinoma; 3 for benign biliary stricture. The time for harvesting HRL flaps and buttressing HJ was &lt;10 minutes. No blood was lost during harvesting the flaps. One patient (2.5 %) had grade A leak following radical cholecystectomy, and structures were not observed during a median follow-up of 18 months (6 months to 2years). Conclusion: HRL-based buttressing of HJ can reduce the bile leak and\/or stricture rate.<\/jats:p>","DOI":"10.5604\/01.3001.0010.3901","type":"journal-article","created":{"date-parts":[[2018,5,22]],"date-time":"2018-05-22T15:01:20Z","timestamp":1527001280000},"page":"5-10","source":"Crossref","is-referenced-by-count":5,"title":["Buttressing hepaticojejunostomy's with hepatic round ligament flap may be beneficial"],"prefix":"10.5604","volume":"89","author":[{"given":"Jayant Kumar","family":"Banerjee","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery, Command Hospital, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramanathan Saranga","family":"Bharathi","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Command Hospital, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pankaj Purushotam","family":"Rao","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Command Hospital, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","reference":[{"key":"152407r1","unstructured":"De Castro S.M., Kuhlmann K.F., Busch O.R. et al.: Incidence and management of biliary leakage after hepaticojejunostomy. J. Gastrointest. Surg. 2005; 9: 1163\u20131173."},{"key":"152407r2","doi-asserted-by":"crossref","unstructured":"Malgras B., Duron S., Gaujoux S., Dokmak S., Aussilhou B., Rebours V., Palazzo M., Belghiti J., Sauvanet A.: Early biliary complications following pancreaticoduodenectomy: prevalence and risk factors. HPB 2016; 18: 367\u2013374.","DOI":"10.1016\/j.hpb.2015.10.012"},{"key":"152407r3","unstructured":"Antolovic D., Koch M., Galindo L., Wolff S., Music E., Kienle P., Schemmer P., Friess H., Schmidt J., Buchler M.W., Weitz J.: Hepaticojejunostomy \u2013 analysis of risk factors for postoperative bile leaks and surgical complications. J. Gastrointest. Surg. 2007; 11: 555\u2013561."},{"key":"152407r4","doi-asserted-by":"crossref","unstructured":"Herzog T., Belyaev O., Hessam S., Uhl W., Chromik A.M.: Management of isolated bile leaks after pancreatic resections. J. Investigative Surg. 2014. DOI: 10.3109\/08941939.2014.916368.","DOI":"10.3109\/08941939.2014.916368"},{"key":"152407r5","doi-asserted-by":"crossref","unstructured":"Li S.Q., Liang L.J., Peng B.G. et al.: Bile leakage after hepatectomy for hepatolithiasis: risk factors and management. Surgery. 2007; 141: 340\u2013345.","DOI":"10.1016\/j.surg.2006.08.013"},{"key":"152407r6","unstructured":"House M.G., Cameron J.L., Schulick R.D., Campbell K.A., Sauter P.K., Coleman J.A., Lillemoe K.D., Yeo C.J.: Incidence and outcome of biliary strictures after pancreaticoduodenectomy. Ann. Surg. 2006; 243: 571\u2013578."},{"key":"152407r7","unstructured":"Tocchi A., Costa G., Lepre L., Liotta G., Mazzoni G., Sita A.: The long-term outcome of hepatico-jejunostomy in the treatment of benign bile duct strictures. Ann. Surg. 1996; 224: 162\u2013167."},{"key":"152407r8","unstructured":"de Jong E.A., Moelker A., Leertouwer T., Spronk S., van Dijk M., van Eijck C.H.J.: Percutaneous transhepatic biliary drainage in patients with postsurgical bile leakage and nondilated intrahepatic bile ducts. Dig. Surg. 2013; 30: 444\u2013450."},{"key":"152407r9","unstructured":"Sepesi B., Swisher S.G., Walsh G.L., Correa A., Mehran R.J., Rice D., Roth J., Vaporciyan A., Hofstetter W.L.: Omental reinforcement of the thoracic esophagogastric anastomosis: an analysis of leak and reintervention rates in patients undergoing planned and salvage esophagectomy. J. Thorac. Cardiovasc. Surg. 2012; 144: 1146\u20131151."},{"key":"152407r10","doi-asserted-by":"crossref","unstructured":"Zheng Q.F., Wang J.J., Ying M.G., Liu S.Y.: Omentoplasty in preventing anastomotic leakage of oesophagogastrostomy following radical oesophagectomy with three-field lymphadenectomy. Eur J Cardiothorac Surg 2013; 43: 274\u2013278.","DOI":"10.1093\/ejcts\/ezs285"},{"key":"152407r11","doi-asserted-by":"crossref","unstructured":"Yuan Y, Zeng X, Hu T, et al. Omentoplasty for oesophagogastrostomy after oesophagectomy. Cochrane Database Syst Rev. 2014 (10):CD008446.doi.10.1002.","DOI":"10.1002\/14651858.CD008446.pub3"},{"key":"152407r12","doi-asserted-by":"crossref","unstructured":"Sun D.X., Tan X.D., Gao F., Xu J., Cui D.X., Dai X.W.: Use of an autologous liver round ligament flap zeros postoperative bile leak after curative resection of hilar cholangiocarcinoma. PLoS ONE. 2015; 10 (5): e0125977. DOI:10.1371\/ journal. pone.0125977.","DOI":"10.1371\/journal.pone.0125977"},{"key":"152407r13","doi-asserted-by":"crossref","unstructured":"Koch M., Garden O.J., Padbury R., Rahbari N.N., Adam R., Capussotti L. et al.: Bile leakage after hepato-biliary and pancreatic surgery: a definition and grading of severity by the International Study Group of Liver Surgery. Surgery. 2011; 149: 680\u2013688.","DOI":"10.1016\/j.surg.2010.12.002"},{"key":"152407r14","doi-asserted-by":"crossref","unstructured":"Wente M.N., Bassi C., Dervenis C. et al.: Delayed gastric emptying after pancreatic surgery: A suggested definition by the International Study Group of Pancreatic Surgery. Surgery. 2007; 142: 761.","DOI":"10.1016\/j.surg.2007.05.005"},{"key":"152407r15","doi-asserted-by":"crossref","unstructured":"McDonald M.I., Farnell M.B., Nagorney D.M., Ilstrup D.M., Kutch J.M.: Benign biliary strictures: repair and outcome with a contemporary approach. Surgery. 1995; 118: 582\u2013591.","DOI":"10.1016\/S0039-6060(05)80022-4"},{"key":"152407r16","doi-asserted-by":"crossref","unstructured":"Bassi C., Dervenis C., Butturini G. et al.: Postoperative pancreatic fistula: An international study group (ISGPF) definition. Surgery. 2005; 138: 8.","DOI":"10.1016\/j.surg.2005.05.001"},{"key":"152407r17","unstructured":"Dindo D., Demartines N., Clavien P.A.: Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann. Surg. 2004; 240: 205\u2013213."},{"key":"152407r18","doi-asserted-by":"crossref","unstructured":"Eshuis W.J., Tol J.A.M..G., Nio C.Y., Busch O.R.C., van Gulik T.M., Gouma D.J.: Leakage of the gastroenteric anastomosis after pancreatoduodenectomy. Surgery. 2014; 156: 75\u201382.","DOI":"10.1016\/j.surg.2014.03.044"},{"key":"152407r19","doi-asserted-by":"crossref","unstructured":"Ying D.J.,Ho G.T.,Cai J.X.: Anatomic bases of the vascularized hepatic teres ligament flap. Surg. Radiol. Anat. 1997. 19: 293\u2013294.","DOI":"10.1007\/BF01637594"},{"key":"152407r20","doi-asserted-by":"crossref","unstructured":"Costalat G., Dravet F., Noel P., Alquier Y., Vernhet J.: Coelioscopic treatment of perforated gastro-duodenal ulcer using the ligamentum teres hepatis. Surg. Endosc. 1991; 5: 154\u2013155.","DOI":"10.1007\/BF02653225"},{"key":"152407r21","unstructured":"Zhang C.H., Yang X.Y., Chen X., Zhou C.C., Zhou H.B., Zhou H.B. et al.: A novel use for the round ligament of the liver in a complicated bile duct operation. ANZ J. Surg. 2011; 81: 572\u2013573"},{"key":"152407r22","unstructured":"Iannitti D.A., Coburn N.G., Somberg J., Ryder B.A., Monchik J., Cioffi W.G.: Use of the round ligament of the liver to decrease pancreatic fistulas: a novel technique. J. Am. Coll. Surg. 2006; 203: 857\u2013864."},{"key":"152407r23","unstructured":"Nakatsuka H., Sawatsubashi T., Morioka N., Shimizu T., Kanda T.: Use of the round ligament of the liver to prevent post-pancreatectomy hemorrhage. Gan To Kagaku Ryoho. 2013; 40: 1903\u20131905."}],"container-title":["Polish Journal of Surgery"],"original-title":[],"link":[{"URL":"https:\/\/ppch.pl\/gicid\/pdf\/01.3001.0010.3901","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ppch.pl\/gicid\/pdf\/01.3001.0010.3901","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,10,18]],"date-time":"2019-10-18T09:38:39Z","timestamp":1571391519000},"score":1,"resource":{"primary":{"URL":"https:\/\/ppch.pl\/gicid\/01.3001.0010.3901"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8,31]]},"references-count":23,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,8,31]]}},"URL":"https:\/\/doi.org\/10.5604\/01.3001.0010.3901","relation":{},"ISSN":["0032-373X","2299-2847"],"issn-type":[{"value":"0032-373X","type":"print"},{"value":"2299-2847","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8,31]]}}}