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September 10, 2025Journal of Surgical Case ReportsOpen Access

Management of a complex central bile duct injury associated with laparoscopic cholecystectomy: a case report of double hepaticojejunostomy and advanced transhepatic interventional drainage technique

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Authors

MOMichelle OrdieresLBLukas Philipp BeyerJMJulia Möller

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Overview

Case report details successful management of bile duct injury post laparoscopic cholecystectomy, highlighting multidisciplinary techniques.

Key Points

  • Significant bile leakage led to surgical revision, where multiple bile ducts were identified and treated.
  • Two separate hepaticojejunostomy anastomoses were performed to manage the complex biliary anatomy.
  • A transhepatic cholangiography drain was inserted to assist in drainage of the right hepatic duct.
  • With a follow-up of 18 months, the patient shows no signs of biliary complications post-surgery.

Cite This Study

Ordieres et al. (2025) studied this question.

synapsesocial.com/papers/68c23cf6b210217d6478bb76https://doi.org/10.1093/jscr/rjaf726
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Reconstruction of Iatrogenic Bile Duct Injuries following Laparoscopic Cholecystectomy2025 · 2 citations
  2. 2Open common bile duct exploration with primary closure treatment of complicated choledocholithiasis: a case report and literature review2025
  3. 3COMPLEX CLINICAL SCENARIOS IN ABDOMINAL SURGERY: A CASE REPORT2025
  4. 4Laparoscopic hepatectomy based on diseased bile duct tree territory guided by double landmarks for hepatolithiasis: A case report2025
  5. 5Autologous Parietal Peritoneum as a Biliary Interposition Conduit for Complex Post-Cholecystectomy Bile Duct Injuries: A Feasibility Study and Report of Two Cases2025