Excluded-loop hepatojejunal anastomosis with use of laparoscopy in late management of iatrogenic ligature of the bile duct.
Although the procedures adopted for bile duct surgery are routine, serious complications occasionally occur. This article reports the authors' experience in managing an iatrogenic ligature of the bile duct. The patient in this case had undergone open cholecystectomy and had significant jaundice in the early postoperative period. During the investigation, a complete ligature of the common hepatic duct was discovered. An anastomosis of the common hepatic duct with an excluded jejunum loop was performed with use of laparoscopy. Periodic follow-up continuing until 30 months after surgery showed the patient was asymptomatic, and ultrasonography, percutaneous transhepatic cholangiography, and cholangioresonance findings were normal. We consider the procedure feasible and technically advantageous when done with the assistance of laparoscopy.
Crema
Eduardo
E
Department of Digestive Surgery, Federal School of Medicine, Uberaba-Minas Gerais, Brazil. cirurgiafmtm@bol.com.br
Silva
Alex Augusto
AA
Lenza
Roberto M
RM
de Oliveira
Cristiane B
CB
Bridi
Victor A U
VA
Martins
Aiodair
A
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods*; D002758:Cholangiography; D002763:Cholecystectomy; D003135:Common Bile Duct / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006500:Hepatic Duct, Common / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D007583:Jejunum / Q000601:surgery*; D010535:Laparoscopy; D011183:Postoperative Complications