[An approach to the right hepatic duct in treating high damage and cicatricial stricture of the bile ducts]. / Dostup k pravomu pechenochnomu protoku pri lechenii vysokogo povrezhdeniia i rubtsovoi striktury zhelchnykh protokov.

There was proposed an operative access to the duct via the lateral end of transverse hepatic fissura, basing on the results of studying of the right hepatic duct anatomy. The method performed includes the right hepatic lobe mobilization, its fibrous capsule transsection along the transverse fissura in the direction toward right posterior sectorial duct, longitudinal transsection of the duct lateral wall along 1-2 cm with subsequent formation of laterolateral hepaticojejunoanastomosis. Method was tested in 9 patients with high damage and cicatricial stricture of biliary ducts, the result was positive.