Repair of a Post-Hepatectomy Posterior Sectoral Duct Injury Secondary to Anomalous Bile Duct Anatomy Using a Novel Combined Surgical-Interventional Radiologic Approach
Figure 5
Intraoperative radiographically guided tunneling of biliary catheters. (a) Intraoperative radiograph showing interventional radiologist tunneling 16 gauge Colapinto needle through the previously placed posterior sectoral sheath (Cook Medical Inc, Bloomington, In). A guidewire traversing regenerated liver into the peritoneal cavity is demonstrated (arrow). (b) Operative field view with a catheter in the anterior ductal system inserted retrograde from the bile duct and out the liver surface and abdominal wall (arrow) and the posterior catheter inserted from an outside-in direction.
