Abstract
Finding intraoperatively an advanced perihilar bile duct tumor involving both hepatic ducts is a difficult situation for a surgeon to perform biliary drainage. We propose a simplified biliary drainage technique by a combined intraoperative biliary stent with choledochoduodenostomy and report the long-term outcomes of four patients who underwent biliary drainage using this technique. This technique is less technically demanding and provides an acceptable patency rate. Choledochoduodenostomy anastomosis also allows the surgeon to reassess and perform additional interventions of the biliary tract.
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The authors thank Mr. Ian Thomas for assistance with the English-language presentation of the manuscript.
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All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Vor Luvira, Kwanchanok Losuwarat, and Theerawee Tipwaratorn. The first draft of the manuscript was written by Vor Luvira, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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The Institutional Review Board, Office of Human Research Ethics, Khon Kaen University, reviewed and approved this study (HE641308).
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Luvira, V., Tipwaratorn, T., Losuwarat, K. et al. Combined Intraoperative Biliary Stent with Choledochoduodenostomy: a Simplified Technique for Intraoperatively Found Advanced Perihilar Bile Duct Tumor Involving Both Hepatic Ducts. Indian J Surg 84 (Suppl 2), 546–550 (2022). https://doi.org/10.1007/s12262-022-03489-y
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DOI: https://doi.org/10.1007/s12262-022-03489-y