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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As transaminases estavam aumentadas 2x normal. Os biliodigesttiva preferem a hepaticojejunostomia em Y de Roux, pois esta anastomose apresenta menor risco de refluxo e colangite.

Laparoscopic treatment of common bile duct lithiasis. Arq Gastroenterol anaatomose 3: Most surgeons have still difficulties to deal with this situation and do prefer resolve with open surgery or with further endoscopic approach.

We present a case of a year-old man, with 18 months history of right upper quadrant pain, weight loss and jaundice. He was referred with diagnostic anastomise pancreatic cancer.


Abdominal ultrasound showed atrophic gallbladder with dilated intra and extrahepatic biliary tree.

Mirizzi syndrome grades III and IV: surgical treatment.

Computerized tomography scan disclosed enlarged biliary tree with 3 cm stone in the distal common bile duct. The patient underwent a laparoscopic cholecystectomy followed by choledochotomy and retrieval of the large stone. A latero-lateral choledochoduodenum anastomosis was then performed to decompress the biliary tree. The patient had an uneventful recovery being discharged at the 6th postoperative day.

Laparoscopic management of choledocholithiasis is feasible in many patients, specially those with dilated biliary tree.

The retrieval of stones may be followed by biliary drainage with T-tube. In some elderly patients with chronically dilated common bile duct, as in the present case, a choledochoduodenal anastomosis is the procedure of choice. Surg Laparosc Endosc ;3: Laparoscopic common bile duct exploration by choledochotomy.

An effective and efficient method of treatment of anastomise. Laparoscopic common bile duct exploration. Surg Laparosc Endosc ;4: Laparoscopic common bile duct exploration by choledocotomy.


Problems in general surgery: J Laparoendosc Surg ;1: An alternative technique for open laparoscopy. Surg Laparosc Endosc ;9: Paganini AM, Lezoche E. Follow-up of unselected consecutive patients treated laparoscopically for common bile duct stones.

Choledochal cyst: case report and literature review

Common biliodigrstiva duct stones: J Hepatobiliary Pancreat Surg ;5: Casa BrancaCj. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Services on Demand Journal. Common bile duct lithiasis.

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