Roux En Y Intrahepatico-jejunostomy After Common Bile Duct Injury.

We present a case of a 20 year old female, who underwent a laparoscopic cholecystectomy for symptomatic gallstones.
Patient was discharged home the same day and returned to the hospital 48 hours after surgery complaining of abdominal pain. A CT scan performed showed a large abdominal fluid collection compatible with a biloma. An ERCP showed an interruption of the bile duct with contrast extravasation.
The patient was transferred to our institution where the fluid collection was drained percutaneously. She was optimized and underwent a robotic assisted Roux en Y intrahepatico jejunostomy for a common bile duct injury.
The surgical procedure was performed with the da Vinci robotic system. The video shows the difficult dissection and identification of the anatomic structures in the hepatic hilum, the mapping of the remaining bile ducts by several cholangiograms and the surgical reconstruction by a double intrahepatic hepatico-jejunostomy.


Session: Podium Video Presentation

Program Number: V033

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