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Article Abstract
Introduction: An isolated bile leakage is a relatively rare type of postoperative bile leakage. Most isolated bile leakages require invasive procedures such as surgical approaches.
Presentation Of Cases: The right hepatic duct was intraoperatively injured during right anterior sectionectomy. Bile leakage occurred postoperatively in the injured bile duct, although the injured bile duct was repaired with suturing and C-tube drainage was performed to decompress the bile duct during hepatectomy. Unfortunately, nonsurgical treatment was not possible. Therefore, bilio-enteric anastomosis between the right hepatic duct and jejunum was ultimately performed because of the small remnant liver volume and poor liver function.
Discussion: Bilio-enteric anastomosis can avoid sacrificing functioning liver parenchyma, but in cases of hepatocellular carcinoma recurrence, transarterial chemoembolization carries a high risk of liver abscess due to cholangitis in patients undergoing enteric revision. Liver resection or bilio-enteric anastomosis should be carefully selected based on clinical data, such as remnant liver volume, liver function, and primary liver disease.
Conclusion: We report a case of isolated bile leakage after anterior sectionectomy for hepatocellular carcinoma that was managed with Roux-en-Y hepaticojejunostomy at the injured right hepatic duct.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11387901 | PMC |
| http://dx.doi.org/10.1016/j.ijscr.2024.110125 | DOI Listing |
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