title: Laparoscopic reconstruction of the extrahepatic bile duct using a jejunal tube: an innovative, more physiological and anatomical technique for biliodigestive derivation†.
abstract: The incidence of bile duct injuries has increased as a consequence of the increasing number of cholecystectomies. However, the results of biliodigestive derivation currently used for bile duct reconstruction are unsatisfactory. We report here the case of a patient with iatrogenic Bismuth II bile duct injury and propose a new technique that permits more anatomical and physiological reconstruction of extensive bile duct injuries using transverse retubularization of a pedicled jejunal segment interposed between the bile duct and duodenum.
authors.affiliation: Department of Digestive Surgery, Triangulo Mineiro Federal University, Uberaba, Minas Gerais, Brazil cremauftm@mednet.com.br.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Crema
authors.affiliation: Department of Digestive Surgery, Triangulo Mineiro Federal University, Uberaba, Minas Gerais, Brazil.
authors.forename: Eliane Anrain
authors.initials: EA
authors.lastname: Trentini
authors.affiliation: Department of Digestive Surgery, Triangulo Mineiro Federal University, Uberaba, Minas Gerais, Brazil.
authors.forename: Celso Júnior Oliveira
authors.initials: CJ
authors.lastname: Teles
authors.affiliation: Department of Digestive Surgery, Triangulo Mineiro Federal University, Uberaba, Minas Gerais, Brazil.
authors.forename: Paulo Ricardo
authors.initials: PR
authors.lastname: Monti
authors.affiliation: Department of Digestive Surgery, Triangulo Mineiro Federal University, Uberaba, Minas Gerais, Brazil.
authors.forename: Croider Franco
authors.initials: CF
authors.lastname: Lacerda
authors.affiliation: Department of Digestive Surgery, Triangulo Mineiro Federal University, Uberaba, Minas Gerais, Brazil.
authors.forename: Juverson Alves Terra
authors.initials: JA
authors.lastname: Junior
authors.affiliation: Department of Digestive Surgery, Triangulo Mineiro Federal University, Uberaba, Minas Gerais, Brazil.
authors.forename: Alex Augusto
authors.initials: AA
authors.lastname: Silva