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J Minim Access Surg. 2019 Jan 4. doi: 10.4103/jmas.JMAS_242_18. [Epub ahead of print]

Magnetic resonance imaging-guided three-dimensional real-time bile duct reconstruction and end-to-end anastomosis under laparoscopy: A case report.

Author information

1
Department of Hepato-Biliary-Pancreatic Surgery, Ningbo Medical Centre of Lihuili Hospital, Ningbo, China.
2
Department of Hepato-Biliary-Pancreatic Surgery, Ningbo Medical Centre of Lihuili Eastern Hospital; Department of Mechanical and Energy Engineering, Zhejiang University Ningbo Institute of Technology, Ningbo, China.
3
Department of Hepato-Biliary-Pancreatic Surgery, Taipei Medical University Ningbo Medical Centre, Ningbo, China.

Abstract

In laparoscopic cholecystectomy (LC), the anatomical variation of gallbladder canal should be noted. Bile duct injury is one of the most serious complications of LC, which might lead to serious complications. This case because of an intraoperative accidental cut to right anterior inferior lobe bile duct which joins to the cystic duct, after confirming by intraoperative magnetic resonance imaging-guided real-time three-dimensional bile duct reconstruction and performing end-to-end anastomosis of the right anterior inferior lobe bile duct and the gallbladder tube under laparoscopy, the patient was discharged 5 days after surgery, was followed up for 4 months and was disease-free.

KEYWORDS:

Anastomosis; biliary variation; end to end; laparoscopy; three-dimensional

PMID:
30618432
DOI:
10.4103/jmas.JMAS_242_18
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