Rendezvous procedure for the treatment of bile leaks and injury following segmental hepatectomy.
BACKGROUND
Endoscopic retrograde cholangiopancreatography is a minimally invasive procedure used for the evaluation and management of biliary injuries. At times, ERCP fails and percutaneous modalities may be required. Rendezvous procedures are combined endoscopic and percutaneous techniques that have been used to restore anatomic continuity and biliary drainage in cases where retrograde and/or transhepatic access alone has failed either due to anatomic variation or traumatic injury with biloma formation.


OBJECTIVE
To assess if the Rendezvous technique plays a role in establishing biliary continuity in patients with a bile leak after segmental hepatectomy.


METHODS
We herby present a series of 3 patients who had complex bile leaks after segmental liver resection and underwent a combined percutaneous and endoscopic Rendezvous procedure to establish biliary continuity.


RESULTS
This technique was successful in restoring biliary continuity and avoiding hepaticojejunostomy in 2 of the 3 patients.


CONCLUSIONS
The Rendezvous technique may play a role in establishing biliary continuity in patients with biliary leak secondary to hepatic surgery.
Department of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.
John Y
JY
Nasr
Jana G
JG
Hashash
Philip
P
Orons
Wallis
W
Marsh
Adam
A
Slivka
D000328:Adult; D057868:Anastomotic Leak / Q000601:surgery*; D001652:Bile Ducts / Q000293:injuries* / Q000601:surgery; D001660:Biliary Tract Diseases / Q000601:surgery*; D001662:Biliary Tract Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods*; D006498:Hepatectomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome