A vesícula biliar foi ressecada juntamente com a porção distal do cisto e anastomose biliodigestiva de 2 cm em Y-de-Roux foi realizada entre a alça de jejuno e. Todos os pacientes foram submetidos à anastomose hepático-jejunal em “Y” de . carcinoma intestinal, sendo que a anastomose bíliodigestiva estava pérvia. A anastomose (Figuras 3, 4, 5) foi feita manualmente em plano único com com colédoco cronicamente dilatados, uma anastomose biliodigestiva pode ser.

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Development of dominant bile duct stenoses in patients with primary sclerosing cholangitis treated with ursodeoxycholic acid: Biliary tract complications after orthotopic liver transplantation with choledochocholedochostomy anastomosis: National comprehensive cancer network biliodigestuva practice guidelines in oncology. Congenital choledochal dilatation with emphasis on pathophysiology of the biliary tract.

Mirizzi syndrome grades III and IV: surgical treatment.

Etiology, diagnosis and management. J Hepatobiliary Pancreat Surg ;5: Choledochal cysts in adults and their complications. Roux-en-Y hepaticojejunostomy proved safe and effective in draining the bile duct in the short and long term.

All patients underwent Roux-en-Y hepatic-jejunal anastomosis; in two cases the right and left hepatic ducts were implanted separately in the excluded jejunal loop. How to cite this article.


A Multicenter Study, Gastrointest Endosc. Gastroenterology and Hepatology from Biliodigeestiva to Bench. Surgery of the liver and biliary tract.

Endoscopic management of postcholecystectomy bile duct strictures. How to cite this article. Diagnosis is easily done using image methods. Sabiston – Tratado de cirurgia. We conducted a retrospective study with 27 patients who underwent surgical reconstruction of the biliary tree for cicatricial stenosis.

Endoscopic approach to malignant strictures at bkliodigestiva hepatic hilum. Gouma DJ, Obertop H. The gallbaldder was ressected jointly with the distal portion of the cyst.

Surgical reconstruction of post-cholecistectomy cicatricial biliary stenosis

anastomoee Value ansatomose endobiliary brush cytology and biopsies for the diagnosis of malignant bile duct stenosis: A choledochal cyst was revealed after laparotomy, being classified as type I, with regards to Todanis’ classification. Bismuth H, Majno PE. Choledochal cysts-differences in children and adults. Surg Laparosc Endosc ;9: Laparoscopic management of choledocholithiasis is feasible in many patients, specially those with dilated biliary tree.

It is uncommon, having an estimated incidence of 1: The retrieval of stones may be followed by biliary drainage with T-tube. The patient underwent a laparoscopic cholecystectomy followed by choledochotomy and retrieval of the large stone.


The endoscopic approach intends to create a deviation of bile juice to duodenum by means of metal or plastic stents aiming a safe palliation. How to cite this article. Common bile duct stones: Most surgeons have still bilodigestiva to deal with this situation and do prefer resolve with open surgery or with further endoscopic approach. Abdominal ultrasound showed atrophic gallbladder with dilated intra and extrahepatic biliary tree. Laboratory exams demonstrated an increase in canicular, hapatocytic and bilirubin enzymes.

J Am Coll Surg. Endoscopic sphincterectomy complications and their management, an attempt at consensus. Diagnosis and treatment of ampullary tumors.

Laparoscopic common bile duct exploration by choledochotomy. Surg Laparosc Endosc ;3: Services on Demand Journal. Most injuries were anatsomose during cholecystectomy within the first postoperative days; seven patients had been reoperated in an attempt to reconstruct the biliary tract.