‘O’ Configuration of Biliary-Enteric Drainage: a Preventable Surgical Error

A New Surgical Technique of Biliary Drainage

Introduction: Roux-en-Y Hepatico-jejunostomy is the standard technique of biliary reconstruction after excision of choledochal cyst. Here the author describes a new surgical technique of biliary reconstruction using native gall bladder as biliary conduit. New Surgical Technique: The choledochal cyst is excised as standard technique but gall bladder with its neck is kept in situ. The gall bladde...

Cholangiocarcinoma arising after biliary-enteric drainage procedures for benign disease.

Enteric Exocrine Drainage

Pancreas transplantation was first attempted in humans by Kelly et al. (1967) and Lillehei et al. (1967). The whole organ was grafted along with variable segments of duodenum and jejunum. The results were poor, and by 1972 the whole organ concept was virtually abandoned for the next decade. Even at the University of Minnesota where Lillehei worked, only one whole pancreas was transplanted betwe...

Endoscopic ultrasound-guided biliary drainage as an alternative to percutaneous drainage and surgical bypass.

Endoscopic retrograde cholangiopancreatography had been a treatment modality of choice for both benign and malignant biliary tract obstruction for more than half century, with a very high clinical success rate and low complications. But in certain circumstances, such as advanced and locally advanced pancreatobiliary malignancies (pancreatic cancer, cholangiocarcinoma, ampullary tumor) and tight...

A Comparison of Preoperative Biliary Drainage Methods for Perihilar Cholangiocarcinoma: Endoscopic versus Percutaneous Transhepatic Biliary Drainage

BACKGROUND/AIMS Controversy remains over the optimal approach to preoperative biliary drainage in patients with resectable perihilar cholangiocarcinoma. We compared the clinical outcomes of endoscopic biliary drainage (EBD) with those of percutaneous transhepatic biliary drainage (PTBD) in patients undergoing preoperative biliary drainage for perihilar cholangiocarcinoma. METHODS A total of 1...