Instructional Video For Hepaticojejunostomy Anastomosis Ensuring Evenly Spaced Sutures

Journal of Gastrointestinal Surgery https://doi.org/10.1007/s11605-023-05787-6 MULTIMEDIA ARTICLE Instructional Video For Hepaticojejunostomy Anastomosis Ensuring Evenly Spaced Sutures Mujtaba Mubashir1 · Jesse M Rappaport1 · R Matthew Walsh1 Received: 25 June 2023 / Accepted: 12 July 2023 © The Society for Surgery of the Alimentary Tract 2023 Abstract Objective We demonstrate a surgical technique involving construction of a hepaticojejunostomy (HJ) anastomosis that ensures even spacing between the sutures regardless of the size of the common bile duct. This is demonstrated via a series of illustrations followed by live demonstration of a HJ anastomosis created during a Whipple procedure. Video Description Overall, this technique results in the creation of a tension-free hepaticojejunostomy anastomosis, that typically does not require stenting, is highly reliable and replicable regardless of the size of the common bile duct. It is also easily reproducible and easy to teach trainees. Keywords Hepaticojejunostomy · Bile duct anastomosis · Choledochojejunostomy Dear Editor-in-chief, It is our pleasure to submit our video titled “Instructional Video For Hepaticojejunostomy Anastomosis Ensuring Evenly Spaced Sutures” to the esteemed JGIS journal for consideration for publication. This video was presented as a podium presentation at the DDW/SSAT 2023 conference in Chicago earlier this year. In this video, we demonstrate a surgical technique involving construction of a hepaticojejunostomy (HJ) anastomosis that ensures even spacing between the sutures regardless of the size of the common bile duct. This is demonstrated via a series of illustrations followed by live demonstration of a HJ anastomosis created during a Whipple procedure. We hope that this video contributes significantly to the existing literature as part of a high quality video demonstration. Sincerely Mujtaba Mubashir, MD, on behalf of Matthew Walsh, MD and the authors Supplementary Information The online version contains supplementary material available at https://doi.org/10.1007/s11605-023-05787-6. Funding No funding sources used for manuscript Declarations Disclosure Authors have no disclosures/ conflicts of interest pertaining to this manuscript to report Inform Consent Informed consent was obtained prior to video filming from patient involved. No identifiable patient information is included Presented as a video presentation at SSAT/DDW 2023 Publisher’s Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. * Mujtaba Mubashir 1 Department of General Surgery, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH 44195, USA 13 Vol.:(0123456789)  (...truncated)