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

BethAnn Shanker | Zendy; Oliver S. Eng | Zendy; Vyacheslav Gendel | Zendy; John L. Nosher | Zendy; Darren R. Carpizo | Zendy

Open Access

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

Author(s) -

BethAnn Shanker,

Oliver S. Eng,

Vyacheslav Gendel,

John L. Nosher,

Darren R. Carpizo

Publication year - 2013

Publication title -

case reports in surgery

Language(s) - English

Resource type - Journals

eISSN - 2090-6900

pISSN - 2090-6919

DOI - 10.1155/2013/202315

Subject(s) - medicine , anastomosis , surgery , bile duct , catheter , hepatectomy , interventional radiology , duct (anatomy) , iatrogenic injury , posterior wall , resection

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.

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