Endoscopy 2001; 33(3): 284-288
DOI: 10.1055/s-2001-12815
Case Report

© Georg Thieme Verlag Stuttgart · New York

Percutaneous Cholangioscopic Bilioenterostomy for Unreconstructed Segmental Bile Duct after Hepatobiliary Resection for Hilar Cholangiocarcinoma

T. Sano, J. Kamiya, M. Nagino, M. Kanai, K. Uesaka, Y. Nimura
  • First Deptartment of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan
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Publikationsverlauf

Publikationsdatum:
31. Dezember 2001 (online)

During a major hepatectomy, inadvertent ligation of the major segmental bile-duct branch of the liver remnant is a serious complication. We experienced this serious complication of inadvertent ligation of the bile-duct branch, which should be anastomosed to the jejunal loop, during a left hepatic trisegmentectomy with total caudate lobectomy for a hilar cholangiocarcinoma. A percutaneous transhepatic bilioenteric connection was then created, modifying an endoscopic ureteroneocystostomy technique, between the ligated segmental bile duct and the jejunal loop. In this procedure, we used two cholangioscopes; one was introduced through the percutaneous transhepatic drainage route, the other was introduced through an enterostomy which was made during the surgery for postoperative enteral feeding; we also used a transjugular intrahepatic portosystemic shunt (TIPS) kit under fluoroscopic guidance. We present here our technique of percutaneous transhepatic bilioenterostomy.

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Y.  Nimura, M.D.

First Department of Surgery
Nagoya University School of Medicine

65 Tsurumai-cho,
Showa-ku
Nagoya 466
Japan


Fax: Fax:+ 81-52-744-2230

eMail: E-mail:ynimura@med.nagoya-u.ac.jp