Single-incision versus conventional laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy
for children with choledochal cysts: a case-control study.
The main hepatic duct that is required to dissect right above the cystic duct, was dissected after the fusion (Figure 1), and continuity was provided with hepaticojejunostomy
. The patient was discharged without any postoperative complications on day 8.
A year later, the patient presented with obstructive jaundice for which he underwent hepaticojejunostomy
. He again developed an infected pseudocyst, which was drained percutaneously with a 18 F catheter.
Radical cholecystectomy with enbloc resection of bile duct, portal lymphadenectomy with roux-en-y hepaticojejunostomy
One year ago, he was diagnosed with cholangiocarcinoma, and underwent uncomplicated right trisegmentectomy, resection of extrahepatic biliary tree, and complete portal lymphadenectomy, with Roux-en-Y hepaticojejunostomy
to 2 intrahepatic ducts.
The patient underwent a common bile duct resection, cholecystectomy, and Roux-en-Y hepaticojejunostomy
. The mass was completely removed and sent to pathology for confirmatory diagnosis.
The patients are supposed to be recommended with surgery which includes transduodenal operative approach repaired, sphincteroplasty, T-tube drainage, and even hepaticojejunostomy
within 24 h when initial endoscopic and conservative management did not yield good results.
was completed with 4/0 PDS (Ethicon[R]) continuous suture (Figure 3b).
Patients having a history of undergoing hepaticojejunostomy
, choledochoduedenostomy, CBD exploration and any other extrabiliary surgical procedure along with cholecystectomy were also excluded from the study.
Till today the procedure of choice is hepaticojejunostomy
. We propose to introduce a new technique: fistula-enteric anastomosis, which has significant advantages as compared to the standard hepaticojejunostomy
The preferred method of biliary tract reconstruction at our center is "duct-to-duct" anastomosis, and hepaticojejunostomy
was not performed in patients with rare indications and biliary tract complications.
Two required roux-en-Y hepaticojejunostomy
and one underwent a pancreaticoduodenectomy.