An approach to the hepatic hilus with marked fibrosis: A surgical technique for reconstruction of the bile duct with a benign stricture

Surgery Today ◽  
1994 ◽  
Vol 24 (10) ◽  
pp. 876-881 ◽  
Author(s):  
Narihide Goseki ◽  
Susumu Takamatsu ◽  
Shoichi Kato ◽  
Yasuyuki Dobashi ◽  
Yuzuru Hara ◽  
...  
Keyword(s):  
Bile Duct ◽  
Surgical Technique ◽  
Benign Stricture ◽  
Hepatic Hilus

scholarly journals Biliobronchial fistula secondary to percutaneous dilatation of the benign biliary stricture

2012 ◽  
Vol 140 (11-12) ◽  
pp. 772-776
Author(s):  
Radoje Colovic ◽  
Nikica Grubor ◽  
Marko Kaitovic ◽  
Stojan Latincic ◽  
Natasa Colovic
Keyword(s):  
Bile Duct ◽  
Biliary Stricture ◽  
Surgical Reconstruction ◽  
Benign Biliary Stricture ◽  
Benign Stricture ◽  
Intrahepatic Bile Ducts ◽  
Percutaneous Dilatation ◽  
Grade Ii ◽  
Benign Bile Duct Stricture ◽  
Duct Stricture

Introduction. Biliobronchial fistula is rare. Very rarely it may be congenital, more frequently it is acquired as a complication of the hydatide cyst of the liver, pyogenic abscess, serious trauma and resection of the liver as well as recurrent cholangitis due to benign bile duct stricture or cholangiolithiasis. The main causes of the biliobronchial fistula are billiary obstruction and infectious lesion (abscess) in the liver. Case Outline. We present a 56-year-old man with benign stricture of the hepaticojejunostomy performed after operative common bile duct injury, who developed biliobronchial fistula following repeated percutaneous drainage of the liver abscess and percutaneous dilatation of the strictured anastomosis. Over the years the patient developed atrophy/hypertrophy complex, portal hypertension, grade II esophageal varicosities, ascites and splenomegaly. Although biliobronchial fistula was solved by a successful surgical reconstruction (new wide hepaticojejunostomy), the operation had a limited value as it was performed late after permanent lesions of the liver and intrahepatic bile ducts had already developed. Conclusion. Surgical reconstruction of strictured biliodigestive anastomosis should be considered on time as a possibly better solution than percutaneous dilatation. According to the authors? knowledge, a similar case of biliobronchial fistula as a complication of percutaneous dilatation of the benign biliary stricture has not been reported before in the literature.

scholarly journals A Case Report of Calcifying Bile Duct Carcinoma of the Hepatic Hilus.

1993 ◽  
Vol 26 (12) ◽  
pp. 2854-2858 ◽  
Author(s):  
Mikio Yasumura ◽  
Yutaka Ozeki ◽  
Nagaki Matsubara ◽  
Hideki Ishida ◽  
Tomihiko Kimura
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Bile Duct Carcinoma ◽  
Duct Carcinoma ◽  
Hepatic Hilus

scholarly journals How to choose the most appropriate technique for the single-stage treatment of cholecysto-choledocolithiasis?

2019 ◽  
Vol 7 (4) ◽  
pp. 258-262
Author(s):  
Aldo Bove ◽  
Paolo Panaccio ◽  
Raffaella di Renzo ◽  
Gino Palone ◽  
Marco Ricciardiello ◽  
...  
Keyword(s):  
Bile Duct ◽  
Surgical Technique ◽  
Operative Time ◽  
Single Stage ◽  
Surgical Time ◽  
Rendezvous Technique ◽  
Conversion Rates ◽  
Operative Complications ◽  
The One ◽  
Post Operative Complications

AbstractBackgroundWe utilized transcystic clearance and intra-operative papillotomy through a rendezvous technique for the treatment of cholecysto-choledocolithiasis. The goal of this study was to evaluate the reliability of pre-operative parameters to address the most suitable surgical procedure.MethodsA total of 180 patients affected by calculi of the gallbladder and bile duct underwent the single-stage treatment. According to several pre-operative parameters, 141 patients had to supposedly undergo transcystic clearance of the bile duct, while 39 patients had to be treated with the rendezvous technique. All patients were treated with the sequential procedure: first, we tried the transcystic procedure and, if there was a failure, we used a rendezvous technique. We prospectively analysed each group based on a series of variables such as sex, age, operative time, success rate of proposed treatment, conversion rate, post-operative complications and hospital stay.ResultsTranscystic clearance was successful in 134 out of 141 patients (95.0%), while 2 patients needed to undergo a laparo-endoscopy procedure (failure). Thirty-five out of 39 patients (89.7%) obtained common bile-duct (CBD) clearance through the rendezvous technique, while 1 patient obtained clean-up through the simple transcystic procedure (failure). Five out of 141 patients with transcystic clearance and 3 out of 39 patients with the rendezvous technique underwent laparotomy CBD clearance with conversion rates of 3.5% and 7.7%, respectively. Post-operative complications showed similar percentages for both procedures. However, the surgical time turned out to be longer for the rendezvous technique.ConclusionsThe one-stage procedure for the treatment of cholecysto-choledocolithiasis was possible in 94% of the cases utilizing a surgical technique selected according to the patient’s case history. The pre-operative parameters, such as jaundice, CBD diameters and stone diameters, have certified their reliability as good predictors of the most suitable procedure to follow.

Mucin-producing bile duct carcinoma originating at the hepatic hilus

1997 ◽  
Vol 4 (1) ◽  
pp. 135-140 ◽  
Author(s):  
Masahiko Hirota ◽  
Tsutomu Tomioka ◽  
Hisami Ohshima ◽  
Katsumi Yamasaki ◽  
Takashi Matsuo ◽  
...  
Keyword(s):  
Bile Duct ◽  
Bile Duct Carcinoma ◽  
Duct Carcinoma ◽  
Hepatic Hilus

scholarly journals Duplication of the Etrahepatic Bile Duct with a Benign Stricture

2013 ◽  
Vol 52 (23) ◽  
pp. 2679-2680 ◽  
Author(s):  
Masanori Matsuda ◽  
Masataka Kikuyama ◽  
Tatsuki Ueda
Keyword(s):  
Bile Duct ◽  
Benign Stricture

scholarly journals Surgical technique and results of intrapancreatic bile duct resection for hilar malignancy (with video)

HPB ◽  
2018 ◽  
Vol 20 (12) ◽  
pp. 1145-1149 ◽  
Author(s):  
Takehiro Noji ◽  
Keisuke Okamura ◽  
Kimitaka Tanaka ◽  
Yoshitsugu Nakanishi ◽  
Toshimichi Asano ◽  
...  
Keyword(s):  
Bile Duct ◽  
Surgical Technique ◽  
Bile Duct Resection ◽  
Intrapancreatic Bile Duct

Differentiation of Extrahepatic Bile Duct Cholangiocarcinoma from Benign Stricture: Findings at MRCP versus ERCP

Radiology ◽  
2004 ◽  
Vol 233 (1) ◽  
pp. 234-240 ◽  
Author(s):  
Mi-Suk Park ◽  
Tae Kyoung Kim ◽  
Kyoung Won Kim ◽  
Sung Won Park ◽  
Jeong Kyung Lee ◽  
...  
Keyword(s):  
Bile Duct ◽  
Extrahepatic Bile Duct ◽  
Benign Stricture

scholarly journals Surgical technique and Results of intrapancreatic bile duct resection for hilar malignancy

HPB ◽  
2020 ◽  
Vol 22 ◽  
pp. S222
Author(s):  
T. Noji ◽  
K. Okamura ◽  
K. Tanaka ◽  
Y. Nakanishi ◽  
T. Asano ◽  
...  
Keyword(s):  
Bile Duct ◽  
Surgical Technique ◽  
Bile Duct Resection ◽  
Intrapancreatic Bile Duct

scholarly journals A CASE OF LOWER BILE DUCT CARCINOMA WITH BENIGN STRICTURE OF THE INTRAHEPATIC BILE DUCT

2004 ◽  
Vol 65 (10) ◽  
pp. 2742-2745 ◽  
Author(s):  
Susumu KAWATE ◽  
Susumu OHWADA ◽  
Takao OKANO ◽  
Kiyohito IWAMATSU ◽  
Kenji KASHIWABARA ◽  
...  
Keyword(s):  
Bile Duct ◽  
Bile Duct Carcinoma ◽  
Intrahepatic Bile Duct ◽  
Benign Stricture ◽  
Duct Carcinoma
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