Laparoscopic revisional hepaticojejunostomy for biliary stricture after open repair following common bile duct injury: a case report.
BACKGROUND
Incidence of bile duct injury has been reported more frequently following laparoscopic cholecystectomy.


METHODS
A 43-year-old female with a past medical history of laparoscopic cholecystectomy that was converted to open because of a common bile duct injury now presents with a stenosis at the hepaticojejunostomy that is causing recurrent cholangitis episodes. After the lysis of adhesions and dissection of the anastomotic area, a stricture was identified. The authors exposed and redid the hepaticojejunostomy with 4-0 Monocryl sutures without tension. The follow-up period was unremarkable. No leaks were documented, and the patient was discharged home on postoperative day 3.


CONCLUSIONS
After percutaneous or endoscopic procedure failure for the treatment of hepaticojejunostomy strictures, the laparoscopic redo anastomosis is safe and feasible when performed by surgeons who are strongly trained in advanced laparoscopic surgery.
Mount Sinai Medical Center, Miami Beach, FL, USA.
Mariano
M
Palermo
Nelson
N
Trelles
Michel
M
Gagner
D000328:Adult; D002763:Cholecystectomy / Q000009:adverse effects; D001651:Cholestasis, Extrahepatic / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D003135:Common Bile Duct / Q000293:injuries*; D005260:Female; D006801:Humans; D007582:Jejunostomy / Q000379:methods*; D010535:Laparoscopy; D012086:Reoperation