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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Rev Col Bras Cir. Analysis of patients in the Japanese literature. Shackelford’s surgery of the alimentary tract 5th ed. Cheng WR, Kortan P.

Choledochal cysts in adults and their complications. 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.

Is endoscopic drainage of the common bile duct stenoses in chronic anastmose up-to-date? Computerized tomography scan disclosed enlarged biliary tree with 3 cm stone in the distal common bile duct. We present a case of a year-old man, with 18 months history of right upper quadrant pain, weight loss and jaundice.

A hepaticojejunostomia em “Y” de Roux mostrou-se segura e efetiva em recanalizar a via biliar a curto e longo prazos.


Choledochal cyst: case report and literature review

Choledochal cysts-differences in children and adults. Bismuth H, Majno PE. In some elderly patients with chronically dilated common bile duct, as in the present case, a choledochoduodenal anastomosis is the procedure of choice.

The patient underwent a laparoscopic biliodigestkva followed by choledochotomy and retrieval of the large stone. Value of endobiliary brush cytology and biopsies for the diagnosis of malignant bile duct stenosis: To evaluate a series of cases of cicatricial stenosis of the biliary tract after cholecystectomy undergoing surgical reconstruction. All the contents of this journal, except where otherwise noted, is licensed under biliodihestiva Creative Commons Attribution License.

Follow-up of unselected anastomosf patients treated laparoscopically for common bile duct stones. The gallbaldder was ressected jointly with the distal portion of the cyst.

Diagnosis is easily done using image methods.

Surgical reconstruction of post-cholecistectomy cicatricial biliary stenosis

Standard surgical techniques offer a good chance of cure forthe majority of patients affected by extrahepatic benign biliarystricture.

Twenty-six injuries occurred during a laparotomy and one during laparoscopy. 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. One patient presented with stenosis recurrence, secondary cirrhosis and is awaiting liver biliodigesgiva.

Hepaticojejunostomy anashomose end-to-end biliary reconstructions in the treatment of iatrogenic bile duct injuries. The patient had an uneventful recovery being discharged at the 6th postoperative day. Results of a Randomized Prospective Study. Os autores preferem a hepaticojejunostomia em Y de Roux, pois esta anastomose apresenta menor risco de refluxo e colangite.

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Congenital choledochal cysts, with report of 2, and an analysis of 94 cases. Comparative Study with Direct Cholangiography. Casa BrancaCj. How to cite this article.

Mirizzi syndrome grades III and IV: surgical treatment.

Services on Demand Journal. Blumgart LH, Fong Y, editors. Operative management of strictures and benign obstructive disorders of the bile duct. Roux-en-Y hepaticojejunostomy proved safe and effective in draining the bile duct biliodivestiva the short and long term. Common bile duct lithiasis. Temporary placement of covered self-expandable metal stents in benign biliary strictures: Development of dominant bile duct stenoses in patients with primary sclerosing cholangitis treated with ursodeoxycholic acid: National comprehensive cancer network clinical practice guidelines in oncology.

Gastroenterology and Hepatology from Bed to Bench. J Hepatobiliary Pancreat Anastomoose ;5: As transaminases estavam aumentadas 2x normal.