Laparoscopic hepaticoplasty using gallbladder as a subcutaneous tunnel for hepatolithiasis

Figure 1 Removal of intrahepatic duct stones by stone basket using a flexible fiberoptic choledochoscope.

Figure 2 Neck of the gallbladder was opened longitudinally about 3 cm in length.

Figure 3 Hepatic duct was repaired using the neck of the gallbladder.

Figure 4 Fundus of gallbladder was fixed at the tela subcutanea to establish a tunnel between the hepatic duct and the subcutaneous layer.

Figure 5 Anterior wall of the hepatic basin was repaired using a free segment of jejunum, and a hepatico-subcutaneous stoma was formed.