Work

Percutaneous Transhepatic Extra-Anatomical Biliodigestive Anastomosis of an Excluded Accessory Right Posterior Bile Duct after Pancreaticoduodenectomy

Year: 2025

Type: article

Abstract: Biliary complications, such as leaks and obstructions, pose significant postoperative challenges, especially when endoscopic access is unfeasible. This case report highlights the exclusive use of a percutaneous technique to establish an extra-anatomical biliodigestive anastomosis for a persistent biliary leak from an excluded right posterior bile duct following pancreaticoduodenectomy. A transhepatic approach was employed, redirecting bile flow via an internal-external drain and later stenting, achieving symptom resolution without surgical reintervention. This technique might be a viable alternative for managing complex biliary leaks, leveraging percutaneous methods to restore continuity. Long-term follow-up confirmed its success, suggesting further investigation into its safety and efficacy.

Source: Journal of Clinical Interventional Radiology ISVIR

DOI: 10.1055/s-0045-1806785

Authors: Francois H. Cornelis, William Jarnagin, Debkumar Sarkar

Institutions: Memorial Sloan Kettering Cancer Center, Weill Cornell Medicine

Language: English

Topic: Gallbladder and Bile Duct Disorders

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4408863829

FWCI:

Cites: 4

Cited by:

Related to: 10