Percutaneous Biliary Rendez-Vous to Treat Complete Hepatic-Jejunal Anastomosis Dehiscence after Duodeno-Cephalo-Pancreasectomy

Author:

Andresciani Flavio12ORCID,Pacella Giuseppina12,Faiella Eliodoro3,Buoso Andrea12ORCID,Altomare Carlo12,Grasso Rosario Francesco12ORCID

Affiliation:

1. Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Rome, Italy

2. Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Rome, Italy

3. Department of Radiology, Sant’Anna Hospital, Via Ravona, San Fermo della Battaglia, 22042 Como, Italy

Abstract

Hepaticojejunostomy is an essential component of many surgical procedures, including pancreaticoduodenectomy. Biliary leaks after HJS represent a major complication leading to relevant clinical problems: the postoperative mortality rate could reach 70% for surgical re-intervention, whereas endoscopic management is technically difficult due to the postoperative anatomy. Interventional Radiology plays a pivotal role for these patients. The case of a percutaneous biliary rendez-vous procedure performed to treat an HJA dehiscence after duodeno-cephalo-pancreasectomy is presented, which is successfully guaranteed to avoid a new surgical approach.

Publisher

MDPI AG

Subject

General Medicine

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