The bulletin of the Yamaguchi Medical School
Continued by：Medical Science & Innovation
EISSN：2758-5441
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The bulletin of the Yamaguchi Medical School Volume 53 Issue 1-2
published_at 2006
Management of Extrahepatic Bile Duct Injury Complicating with laparoscopic Cholecystectomy - an Experience of the Magnetic Compression Anastomosis between the Common Bile Duct and the Duodenum -
Management of Extrahepatic Bile Duct Injury Complicating with laparoscopic Cholecystectomy - an Experience of the Magnetic Compression Anastomosis between the Common Bile Duct and the Duodenum -
Hiraki Sakurao
Tokuhisa Yoshihiro
Morita Katuhiko
Kawaoka Tohru
Fukuda Shintaro
Sanuki Kazutoshi
Yamanouchi Eigoro
About This Article
Descriptions
Choledochoduodenostomy was performed using magnets interventionally in a patient with complete obstruction of the common bile duct (CBD) after laparoscopic cholecystectomy (Lap-C). Choledochoduodenostomy using magnets was performed 6 months after Lap-C. A cylindrical magnet measuring 4 mm in diameter and 9 mm in length was delivered to the obstructed CBD through percutaneous transhepatic biliary drainage route that was dilated to 14 French. Then a cylindrical magnet measuring 5 mm in diameter and 5 mm n length was delivered at the bulbus of the duodenum using peroral endoscopy. Anastomosis between the CBD and the duodenum was formed gradually by the force of compression between the two magnets. Two weeks later, the anastomossiwas accomplished without any adverse event. Magnetic compression anastomosis is one of useful strategy for biliary complications (Stenosis or obstruction) after Lap-C.
Creator Keywords
magnetic compression anastomosis
choledochoduodenostomy
laparoscopic cholocystectomy
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