Digestive Health Institute, AdventHealth Tampa, Tampa, FL, USA.
Am Surg. 2024 Jun;90(6):1813-1814. doi: 10.1177/00031348241241681. Epub 2024 Apr 2.
The distal bile duct was isolated and transected with a frozen section examination confirming the absence of malignancy. Attention was then shifted to constructing a 60 cm Roux limb by first identifying and transecting the proximal jejunum 40 cm from the ligamentum of Treitz. A side-to-side stapled jejunojejunostomy anastomosis was completed. The Roux limb was transposed toward the porta hepatis through an antecolic approach.
游离远端胆管,行冰冻切片检查证实无恶性肿瘤后离断。然后将注意力转移到构建 60cm 的 Roux 袢,首先在Treitz 韧带上方 40cm 处识别并离断近端空肠。完成侧侧吻合的空肠空肠吻合术。经结肠前入路将 Roux 袢转位至肝门。