Repair of a Post-Hepatectomy Posterior Sectoral Duct Injury Secondary to Anomalous Bile Duct Anatomy Using a Novel Combined Surgical-Interventional Radiologic Approach

نویسندگان

  • Beth-Ann Shanker
  • Oliver S. Eng
  • Vyacheslav Gendel
  • John Nosher
  • Darren R. Carpizo
چکیده

A 64-year-old woman with a completely transected posterior sectoral duct following extended hepatectomy underwent a combined operative procedure with interventional radiology and surgery to restore biliary-enteric drainage. The anterior and posterior sectoral ducts were identified, and catheters were inserted into both systems. The posterior sectoral catheter was placed intraoperatively through a preoperatively placed sheath, and a new tunnel was created through the regenerated liver surface. Biliary-enteric anastomoses were created over the stents.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Acetic acid sclerotherapy for treatment of biliary leak from an isolated right posterior sectoral duct after cholecystectomy

Bile duct injury is one of the most serious complications of both laparoscopic and open cholecystectomy. Isolated bile duct injury can occur from the misidentification of aberrant right hepatic ducts, and it is troublesome because the early diagnosis is easy to miss and the definite treatment is controversial. We report a case of an isolated right posterior sectoral duct injury following cholec...

متن کامل

Multiple plastic stents for benign extrahepatic biliary strictures: report of a case

The etiology of benign bile duct strictures is heterogeneous. Many of them may be secondary to intraoperative injury such as injuries occurring during laparoscopic cholecystectomy. The spectrum of symptoms at presentation varies from subclinical disease with elevation of liver function tests to complete biliary obstruction with jaundice and hyperbilirubinemia or external biliary fistula in the ...

متن کامل

A Multidisciplinary Approach to Major Bile Duct Injury Following Laparoscopic Cholecystectomy

BACKGROUND AND OBJECTIVES Many series describing the management of major bile duct injuries after laparoscopic cholecystectomy have been reported with satisfactory short-term results. However, the information of their prognosis with sufficient time-period follow-up is sparse. METHODS Sixteen consecutive patients with major bile duct injury following laparoscopic cholecystectomy were retrospec...

متن کامل

EVALUATION OF CRANIALIZATION TECHNIQUE IN T HE TREATMENT OF FRONTAL SINUS FRACTU RES

Frontal sinus fractures are of surgical importance because of the microbial flora covering the frontal air sinus and it's proximity with the duramater and brain. There is an increased risk of meningitis when fracture of the posterior wall of the frontal sinus is associated with a dural tear. In this condition, communication occurs between the contaminated space of the air sinus and the intr...

متن کامل

عوارض مجاری صفراوی در کله سیستکتومی لاپاراسکوپیک

Background: The incidence of complications of laparoscopic cholecystectomy has increased dramatically since the introduction and widespread use of laparoscopic cholecystectomy in 1990. Bile duct injuries are among the most important complications of this approach.  Methods : From January 1998 to January 2002, a total of 155 laparoscopic cholecystectomy were performed at the Loghman Medical Cent...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 2013  شماره 

صفحات  -

تاریخ انتشار 2013