Estenosis de Anastomosis Hepático-Yeyunal Termino- Lateral en Y de Roux tratada mediante reconfección y modificación de la técnica de Anastomosis a Termino-Terminal
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Abstract
Early biliary stenosis following a biliary-digestive anastomosis is related to the surgical procedure, while late stenosis with inflammatory phenomena, biliary leakage fibrosis, vascular injury ischemia, jejuno-biliary reflux, or septic cholangitis due to the wing phenomenon blind. The definitive treatment is a new liver-jejunal anastomosis. The present case involves a 39 year old patient who was operated on for the bismuth 4 bile duct injury caused during laparoscopic cholecystectomy treated by Liver-jejunum-anastomosis Termino-lateral with Roux-en-Y after surgery presented cholangitis episodes a repeat for that reason was referred to the Hospital Pablo Arturo Suárez de Quito where the case was resolved by modifying the surgical technique of anastomosis Termino-lateral to Term-terminal procedure that is performed in patients treated in this hospital for having demonstrated lower Postoperative morbidity compared to the classical technique.
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