Ⅲ b 型肝損傷に合併した複雑肝門部胆管損傷に対して， 非縫合性圧着式胆管空腸吻合により再建し救命し得た1 例

［Introduction］We encountered a patient with severe liver trauma with complex extrahepatic biliary tract（hilar bile duct）injury, treated with non-suturing hepaticojejunostomy.
［Case report］A 51-year-old man who sustained a blunt hepatic trauma presented with hemorrhagic shock, and damage control surgery and transarterial embolization（TAE）were performed. During the planned reoperation, severe liver trauma with complex extrahepatic biliary tract was found: A transection at the base of the left hepatic bile duct and a defect of the anterior wall in the anterior and posterior segmental branch. Only the B6 and B7 orifices were visible in the posterior wall, and on day 8, reconstruction of the bile duct using non-suturing hepaticojejunostomy was performed.
［Conclusion］Non-suturing hepaticojejunostomy can be an option for difficult reconstruction of complex extrahepatic biliary tract（hilar bile duct）injuries.