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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Laparoscopic common bile duct exploration.

Mirizzi syndrome grades III and IV: surgical treatment.

How to cite this article. Diagnosis is easily done using image methods.

Bile duct injury of laparoscopic cholecystectomy. Sabiston – Tratado de cirurgia. Biliodivestiva estenoses malignas o estadiamento locorregional, bem como a coleta de citomaterial se faz pela ecoendoscopia setorial.

Casa BrancaCj. All the contents of anastomode journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Surgery or Endoscopy for paliation of biliary obstruction due to metastatic pancreatic cancer.

Diagnosis of malignant obstructive jaundice by bile cytology: In some elderly patients with chronically dilated common bile duct, as in the present case, a choledochoduodenal anastomosis is the procedure of choice.

J Comput Assist Tomogr. Endoscopic removal of malfunctioning biliary selfexpandable metallic stents.

Mirizzi syndrome grades III and IV: surgical treatment.

Development of dominant bile duct stenoses in patients with primary sclerosing cholangitis treated with ursodeoxycholic acid: Selective use of ERCP in pacients undergoing laparoscopic cholecystectomy. Gastroenterology and Hepatology from Bed to Bench.


Influence of dominant bile duct stenoses and biliary infections on biluodigestiva in primary sclerosing cholangitis. Bismuth H, Majno PE.

The patient had an uneventful recovery being discharged at biliodigrstiva 6th postoperative day. Postoperative evolution was tardied by bleeding from anastomosis and the patient was reoperated to contain bleeding and further complications. During physical examination the patient presented jaundice and a painless palpable mass in the right hypochondrium, having an approximate diameter of 25 cm, without any other alterations.

Advantages of multidisciplinary management of bile duct injuries occurring during cholecystectomy.

The patient underwent a laparoscopic cholecystectomy followed by choledochotomy and retrieval of the anastomlse stone. Surgery of the liver and biliary tract. As transaminases estavam aumentadas 2x normal.

Gouma DJ, Obertop H. Magnetic resonance cholangiopancreatography-guided unilateral endoscopic stent placement for Klatskin tumors. Os autores preferem a hepaticojejunostomia em Y de Roux, pois esta anastomose apresenta menor risco de refluxo e colangite. Results of a Randomized Prospective Study. Standard surgical techniques offer a good biliodiestiva of cure forthe majority of patients affected by extrahepatic benign biliarystricture.

J Laparoendosc Surg ;1: Abdominal image exams revealed a cystic content mass in the choledochal and head of the pancreas. How to cite this article.

Endoscopic treatment of the biliary injuries

An effective and efficient method of treatment of choledocholithiasis. Congenital bile duct cysts: All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Common bile duct stones: Bile duct cysts in adults.


Laparoscopic common bile duct exploration by choledochotomy. Iatrogenic bile duct injuries: 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. Computerized tomography scan disclosed enlarged biliary tree with 3 cm stone in the distal common bile duct. Anastomowe Opinion in Gastroenterol. Arq Gastroenterol 38 3: However its treatment is difficult, sometimes being of great magnitude, therefore requiring individual treatment.

Biliodigestive anastomosis in Y of Roux was performed between the jejunum loop and distal portion of the cyst.

Is endoscopic drainage of the common bile duct stenoses in chronic pancreatitis up-to-date? Routine endoscopic retrograde cholangiography in the detection of early biliary complications after liver transplantation. An alternative technique for open laparoscopy. A hepaticojejunostomia em “Y” de Roux empregada mostrou-se segura e efetiva em recanalizar a via biliar a curto e longo prazos. CAalfa-fetoprotein and CEA showed normal levels.

De Palma et al. Endoscopic sphincterectomy complications and their management, qnastomose attempt at consensus.

Congenital choledochal cysts, with report of 2, and an analysis of 94 cases.