Ischemic biliary stricture due to lymph node dissection in the hepatoduodenal ligament

We report on 2 cases of ischemic biliary stricture after radical lymphadenectomy in the hepatoduodenal ligament with skeletonization of the extrahepatic bile ducts for malignant diseases. In both cases, histologic examination of the subsequently resected biliary strictures revealed evidence of ische...

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Bibliographic Details
Published inHepato-gastroenterology Vol. 45; no. 24; p. 2048
Main Authors Ishizuka, D, Shirai, Y, Hatakeyama, K
Format Journal Article
LanguageEnglish
Published Greece 01.11.1998
Subjects
Aged
Bile Ducts, Extrahepatic - blood supply
Bile Ducts, Extrahepatic - pathology
Bile Ducts, Extrahepatic - surgery
Cholecystectomy
Cholestasis, Extrahepatic - diagnosis
Cholestasis, Extrahepatic - pathology
Cholestasis, Extrahepatic - surgery
Gallbladder Neoplasms - surgery
Humans
Ischemia - diagnosis
Ischemia - pathology
Ischemia - surgery
Jejunostomy
Lymph Node Excision
Male
Middle Aged
Postoperative Complications - diagnosis
Postoperative Complications - pathology
Postoperative Complications - surgery
Reoperation
Stomach Neoplasms - surgery
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Summary:We report on 2 cases of ischemic biliary stricture after radical lymphadenectomy in the hepatoduodenal ligament with skeletonization of the extrahepatic bile ducts for malignant diseases. In both cases, histologic examination of the subsequently resected biliary strictures revealed evidence of ischemia. Skeletonization of the bile ducts may result in ischemia and stricture formation. In patients who require thorough dissection of the hepatoduodenal lymph nodes, bile duct resection should be considered.
ISSN:0172-6390