title: The novel use of a biodegradable stent placed by percutaneous transhepatic cholangiography for the treatment of a hepaticojejunostomy biliary leak following an extended left hepatectomy and pancreaticoduodenectomy.
abstract: A 61-year-old man presented with jaundice, and subsequently underwent an extended left hepatectomy and pancreaticoduodenectomy for a cholangiocarcinoma invading the head of the pancreas. The patient developed sepsis due to a biliary leak at the hepaticojejunostomy. We describe the original use of a biodegradable stent, deployed via percutaneous transhepatic cholangiography into the Roux limb, resulting in good drainage and resolution of sepsis. The chief benefit of this procedure is the lack of need for subsequent removal as well as purported reduced biofilm accumulation. We believe this to be the first reported case of this type and the literature surrounding the subject is also discussed.
authors.affiliation: Newcastle upon Tyne Hospitals NHS Foundation Trust, UK.
authors.forename: L
authors.initials: L
authors.lastname: Jones
authors.forename: J
authors.initials: J
authors.lastname: Moir
authors.forename: C
authors.initials: C
authors.lastname: Brown
authors.forename: R
authors.initials: R
authors.lastname: Williams
authors.forename: J J
authors.initials: JJ
authors.lastname: French
mesh_terms: D020341:Absorbable Implants; D000714:Anastomosis, Surgical / Q000009:adverse effects; D001650:Bile Duct Neoplasms / Q000601:surgery*; D001653:Bile Ducts, Intrahepatic; D018281:Cholangiocarcinoma / Q000601:surgery*; D002758:Cholangiography; D004322:Drainage / Q000379:methods; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000000981:diagnostic imaging / Q000209:etiology; D006498:Hepatectomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D018805:Sepsis / Q000209:etiology / Q000601:surgery; D015607:Stents