Open AccessDuct-to-duct biliary reconstruction after radical resection of Bismuth IIIa hilar cholangiocarcinoma
Author(s) -
Wenzhi Wu,
Jun Gu,
Ping Dong,
Jianhua Lu,
Maolan Li,
Xiangsong Wu,
Jingsi Yang,
Lin Zhang,
Qichen Ding,
Hao Weng,
Qi Ding,
Yingbin Liu
Publication year - 2013
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v19.i15.2441
Subject(s) - medicine , anastomosis , bile duct , biliary tract , duct (anatomy) , biliary tract surgical procedures , fistula , biliary fistula , bile duct cancer , surgery , radiology
At present, radical resection remains the only effective treatment for patients with hilar cholangiocarcinoma. The surgical approach for R0 resection of hilar cholangiocarcinoma is complex and diverse, but for the biliary reconstruction after resection, almost all surgeons use Roux-en-Y hepaticojejunostomy. A viable alternative to Roux-en-Y reconstruction after radical resection of hilar cholangiocarcinoma has not yet been proposed. We report a case of performing duct-to-duct biliary reconstruction after radical resection of Bismuth IIIa hilar cholangiocarcinoma. End-to-end anastomosis between the left hepatic duct and the distal common bile duct was used for the biliary reconstruction, and a single-layer continuous suture was performed along the bile duct using 5-0 prolene. The patient was discharged favorably without biliary fistula 2 wk later. Evidence for tumor recurrence was not found after an 18 mo follow-up. Performing bile duct end-to-end anastomosis in hilar cholangiocarcinoma can simplify the complex digestive tract reconstruction process.