2022 Volume 42 Issue 1 Pages 57-60
A 65-year-old man underwent left hepatic trisectionectomy for hilar cholangiocarcinoma and duodenal mucosal resection for early duodenal cancer on the 19th postoperative day. Peritoneal drainage was performed for 6 weeks, however, bile leakage persisted at 100-300 mL/day. Plastic stents were placed in the bile duct through the stump of the jejunal limb via an endoscopic approach, which resulted in successful control of the bile leakage. The peritoneal drainage tube was removed 9 days later. The plastic stents were endoscopically removed 4 months later via the stump-jejunostomy, which was surgically closed immediately after the procedure. The patient remains alive without recurrence at present, 2 years after the initial surgery. Endoscopic placement of stents via the jejunostomy is a reasonable option for the treatment of bile leakage after major hepatectomy with bile duct reconstruction.
