Hepaticojejunostomy by interventional radiology with an expandable metallic stent after extended right hepatectomy for hilar cholangiocarcinoma: case report.
As a rare complication of extended right hepatectomy with portal vein resection, we were unable to find the cut end of the bile duct of the lateral segment to create a hepaticojejunostomy in a 57-year-old man with hilar cholangiocarcinoma. However, we succeeded in safely creating a hepaticojejunostomy between the bile duct of the lateral segment and a Roux-en-Y jejunum by using the guide wire technique and an expandable metallic stent under fluoroscopic and cholangioscopic guidance after the operation. The patient was discharged with an internal biliary drainage tube, but died of recurrence about 2 years after the operation with the hepaticojejunostomy remaining patent.
Yamagiwa
Kentaro
K
Department of Surgery, Mie Prefectural Shima Hospital, Mie University Graduate School of Medicine, Mie Prefecture, Japan. yamagiwa@shimahp.pref.mie.jp
Tabata
Masami
M
Matsumoto
Eiichi
E
Mizuno
Shugo
S
Isaji
Shuji
S
D001650:Bile Duct Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001653:Bile Ducts, Intrahepatic; D018281:Cholangiocarcinoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006498:Hepatectomy / Q000009:adverse effects; D006801:Humans; D007582:Jejunostomy / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional; D015607:Stents