Endoscopy 2001; 33(3): 284-288
DOI: 10.1055/s-2001-12815
Case Report

© Georg Thieme Verlag Stuttgart · New York

Percutaneous Cholangioscopic Bilioenterostomy for Unreconstructed Segmental Bile Duct after Hepatobiliary Resection for Hilar Cholangiocarcinoma

T. Sano, J. Kamiya, M. Nagino, M. Kanai, K. Uesaka, Y. Nimura
  • First Deptartment of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan
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Publication History

Publication Date:
31 December 2001 (online)

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During a major hepatectomy, inadvertent ligation of the major segmental bile-duct branch of the liver remnant is a serious complication. We experienced this serious complication of inadvertent ligation of the bile-duct branch, which should be anastomosed to the jejunal loop, during a left hepatic trisegmentectomy with total caudate lobectomy for a hilar cholangiocarcinoma. A percutaneous transhepatic bilioenteric connection was then created, modifying an endoscopic ureteroneocystostomy technique, between the ligated segmental bile duct and the jejunal loop. In this procedure, we used two cholangioscopes; one was introduced through the percutaneous transhepatic drainage route, the other was introduced through an enterostomy which was made during the surgery for postoperative enteral feeding; we also used a transjugular intrahepatic portosystemic shunt (TIPS) kit under fluoroscopic guidance. We present here our technique of percutaneous transhepatic bilioenterostomy.

References

Y.  Nimura, M.D.

First Department of Surgery
Nagoya University School of Medicine

65 Tsurumai-cho,
Showa-ku
Nagoya 466
Japan


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Email: E-mail:ynimura@med.nagoya-u.ac.jp