Abstract
A 77-year-old female had undergone laparoscopic right hepatectomy for a hepatocellular carcinoma of 9 cm following right portal embolization. Fifteen months later, she was hospitalized with obstructive jaundice. Since examinations showed no evidence of tumor recurrence, we diagnosed it as jaundice caused by late benign postoperative stricture. We performed intrahepatic cholangiojejunostomy with partial hepatectomy of segment IVa after endoscopic nasobiliary drainage, which successfully made normal intrahepatic duct clearly exposed. She has not experienced obstructive jaundice since then, and no signs of recurrence of hepatocellular carcinoma have been found. The late biliary stricture after laparoscopic right hepatectomy has been rarely reported, however, it could be well managed by intrahepatic cholangiojejunostomy.
