Komi type 2 pancreaticobiliary maljunction: Minimal access surgical treatment (with video)

• Published in: Annals of hepato-biliary-pancreatic surgery Vol. 28; no. 3; pp. 393 - 396
• Main Authors: Pereira Graterol, Freddy, Salazar Marcano, Francisco, Rivero-Moreno, Yeisson, Venales Barrios, Yajaira
• Format: Journal Article
• Language: English
• Published: Korea (South) 한국간담췌외과학회 31.08.2024
• Subjects: 일반외과학; Pancreaticobiliary maljunction; Extrahepatic bile duct
• ISSN: 2508-5778; 2508-5859; 2508-5859
• DOI: 10.14701/ahbps.24-063

Pancreaticobiliary maljunction (PBM) is associated with the development of neoplasms of bile ducts. Cholecystectomy with diversion of the biliary-pancreatic flow is considered the treatment of choice. To describe the surgical treatment employed for a patient with Komi's type 2 PBM and its long-term results. Laparoscopic common bile duct exploration, intraoperative cholangioscopy, and Roux-en-Y hepatico-jejunostomy were performed. Postoperative evolution was satisfactory. The patient was discharge 72 hours after the surgery. There was no associated morbidity. At 62-month follow-up, clinical examination, laboratory tests, and imaging studies confirmed an adequate patency of bilio-enteric anastomosis. The surgical approach employed was effective and safe, with satisfactory long-term results.