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Laparoscopic Revision of Benign Hepaticojejunostomy Stricture







































            Figs 3A to D: (A) Looping of HJS with ribbon tape; (B) Hepaticojejunostomy and PTBD catheter seen in situ; (C) Choledochoscopy showing normal
            mucosa; (D) Suture line after revision hepaticojejunostomy

            conclusIon                                           2.  Tse F, Barkun JS, Romagnuolo J, et al. Nonoperative imaging
                                                                    techniques in suspected biliary tract obstruction. HPB (Oxford)
            Laparoscopic repair of PDHJS stricture following a previous open   2006;8(6):409–425. DOI: 10.1080/13651820600746867.
            PD is safe and feasible, and brings with it all the short-term benefits     3.  Mizukawa S, Tsutsumi K, Kato  H,  et  al.  Endoscopic balloon
            of minimal access surgery.                              dilatation for benign hepaticojejunostomy anastomotic stricture
                                                                    using short double-balloon enteroscopy in patients with a prior
                                                                    Whipple’s procedure: a retrospective study. BMC Gastroenterol
            references
                                                                    2018;18(1):14.  DOI: 10.1186/s12876-018-0742-x.
              1.  House MG, Cameron JL, Schulick RD, et al. Incidence and outcome     4.  Belal Z, Onkendi E. Robotic revision of a post-Whipple hepaticojeju-
                of biliary strictures after pancreaticoduodenectomy. Ann surg 2006;   nostomy stricture after previous open pancreaticoduodenectomy.
                243(5): 571–576. DOI: 10.1097/01.sla.0000216285.07069.fc.  Videoscopy 2020;30(12). DOI: 10.1089/vor.2019.0631.





























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