Komi type 2 pancreaticobiliary maljunction:Minimal access surgical treatment (with video)
- Author:
Freddy Pereira GRATEROL
1
;
Francisco Salazar MARCANO
;
Yeisson RIVERO-MORENO
;
Yajaira Venales BARRIOS
Author Information
- Publication Type:Case Report
- From: Annals of Hepato-Biliary-Pancreatic Surgery 2024;28(3):393-396
- CountryRepublic of Korea
- Language:English
- Abstract: 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.
