Case Report
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World J Gastroenterol. Apr 21, 2013; 19(15): 2441-2444
Published online Apr 21, 2013. doi: 10.3748/wjg.v19.i15.2441
Duct-to-duct biliary reconstruction after radical resection of Bismuth IIIa hilar cholangiocarcinoma
Wen-Guang Wu, Jun Gu, Ping Dong, Jian-Hua Lu, Mao-Lan Li, Xiang-Song Wu, Jia-Hua Yang, Lin Zhang, Qi-Chen Ding, Hao Weng, Qian Ding, Ying-Bin Liu
Wen-Guang Wu, Jun Gu, Ping Dong, Jian-Hua Lu, Mao-Lan Li, Xiang-Song Wu, Jia-Hua Yang, Lin Zhang, Qi-Chen Ding, Hao Weng, Qian Ding, Ying-Bin Liu, Depatment of General Surgery, Xinhua Hospital, Affiliated to School of Medicine, Shanghai Jiaotong University, Shanghai 200092, China
Author contributions: Wu WG, Gu J and Liu YB designed the research; Dong P, Lu JH, Li ML, Wu XS and Yang JH performed the research; Zhang L, Ding QC, Weng H and Ding Q contributed new reagents or analytic tools; Dong P, Lu JH, Li ML, Wu XS and Yang JH analyzed data; Wu WG, Gu J and Liu YB wrote the paper; Wu WG and Gu J contributed equally to this work.
Correspondence to: Ying-Bin Liu, PhD, MD, Department of General Surgery, Xinhua Hospital, Affiliated to School of Medicine, Shanghai Jiaotong University, 1665 Kongjiang Road, Shanghai 200092, China. liuybphd@126.com
Telephone: +86-21-25077880 Fax: +86-21-25077880
Received: January 25, 2013
Revised: March 1, 2013
Accepted: March 15, 2013
Published online: April 21, 2013
Core Tip

Core tip: Roux-en-Y anastomosis is the standard of care for biliary reconstruction after radical resection of hilar cholangiocarcinoma. However, a direct duct-to-duct biliary reconstruction preserves the normal sphincter mechanism and endoscopic access to the biliary tree for diagnostic and therapeutic purposes. Duct-to-duct biliary reconstruction is widely used in liver transplantation and hepatic resection. The objective of this study was to determine the feasibility of duct-to-duct biliary reconstruction in the setting of Bismuth IIIa hilar cholangiocarcinoma with limited biliary confluence involvement.