Patients diagnosed intraoperatively, CBD repair using T-tube was done in13(76.5%) cases while in one (5.8%) case, choledochoduodenostomy was done however patients who were diagnosed in postoperatively, initial drainage followed by choledochojejunostomy was done.
With loupe, we finished hepatic artery anastomosis and adopted end-to-end anastomosis of right hepatic duct to common hepatic duct, or Roux-en-Y choledochojejunostomy. If right hepatic duct had many tributaries and their caliber [less than or equal to]2 mm, biliary tracts should be reconstructed under microscope.
A formal pancreaticoduodenectomy was performed with an end-to-end pancreaticojejunostomy, end-to-side choledochojejunostomy and an antrectomy with gastrojejunostomy.
Causes of Pneumobilia (27) Spontaneous biliary-enteric fistula Surgical anastomosis--Whipple's procedure, choledochojejunostomy Incompetent sphincter of Oddi ERCP with papillosphincterotomy or surgical transduodenal sphincteroplasty Emphysematous cholecystitis Trauma
A choledochojejunostomy was made using the laparoscopic approach, the Roux limb was then brought up to the common bile duct and anatomized laparoscopically with a single layer of running 4.0 absorbable suture.
His past medical history showed that he had suffered bile duct injury as a result of cholecystectomy, and had undergone a Roux-en-Y choledochojejunostomy reconstruction 4 years previously to repair the damage.
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