Gracient A, Rebibo L, Delcenserie R, Yzet T, Regimbeau JM. Combined radiologic and endoscopic treatment (using the “rendezvous technique”) of a biliary fistula following left hepatectomy. World J Gastroenterol 2016; 22(30): 6955-6959 [PMID: 27570431 DOI: 10.3748/wjg.v22.i30.6955]
Corresponding Author of This Article
Jean-Marc Regimbeau, MD, PhD, Professor, Service de Chirurgie Digestive, Hôpital Sud, CHU d'Amiens, Avenue René Laennec, F-80054 Amiens cedex 01, France. regimbeau.jean-marc@chu-amiens.fr
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Aug 14, 2016; 22(30): 6955-6959 Published online Aug 14, 2016. doi: 10.3748/wjg.v22.i30.6955
Combined radiologic and endoscopic treatment (using the “rendezvous technique”) of a biliary fistula following left hepatectomy
Aurélien Gracient, Lionel Rebibo, Richard Delcenserie, Thierry Yzet, Jean-Marc Regimbeau
Aurélien Gracient, Lionel Rebibo, Jean-Marc Regimbeau, Service de Chirurgie Digestive, Hôpital Sud, CHU d'Amiens, Avenue René Laennec, F-80054 Amiens cedex 01, France
Richard Delcenserie, Department of Gastroenterology, Amiens University Hospital, Avenue René Laennec, F-80054 Amiens cedex 01, France
Thierry Yzet, Department of Radiology, Amiens University Hospital, Avenue René Laennec, F-80054 Amiens cedex 01, France
Jean-Marc Regimbeau, EA4294, Jules Verne University of Picardie, F-80054 Amiens cedex 01, France
Jean-Marc Regimbeau, Clinical Research Center, Amiens University Hospital, Avenue René Laennec, F-80054 Amiens cedex 01, France
Author contributions: Gracient A and Rebibo L wrote the paper; Delcenserie R and Yzet T performed the combined procedure and revised the manuscript; Regimbeau JM revised the manuscript and designed the report.
Institutional review board statement: The study was approved by the local investigational review board (Comité de Protection des Personnes Nord Ouest II, Amiens, France).
Informed consent statement: The participants in this case report provided informed, verbal consent prior to study enrollment.
Conflict-of-interest statement: All authors declare no conflicts of interest and no specific sources of funding.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Jean-Marc Regimbeau, MD, PhD, Professor, Service de Chirurgie Digestive, Hôpital Sud, CHU d'Amiens, Avenue René Laennec, F-80054 Amiens cedex 01, France. regimbeau.jean-marc@chu-amiens.fr
Telephone: +33-322-668301 Fax: +33-322-668680
Received: December 17, 2015 Peer-review started: December 19, 2015 First decision: January 13, 2016 Revised: February 3, 2016 Accepted: March 1, 2016 Article in press: March 1, 2016 Published online: August 14, 2016 Processing time: 231 Days and 13.5 Hours
Abstract
Despite the ongoing decrease in the frequency of complications after hepatectomy, biliary fistulas still occur and are associated with high morbidity and mortality rates. Here, we report on an unusual technique for managing biliary fistula following left hepatectomy in a patient in whom the right posterior segmental duct joined the left hepatic duct. The biliary fistula was treated with a combined radiologic and endoscopic procedure based on the “rendezvous technique”. The clinical outcome was good, and reoperation was not required.
Core tip: Despite the ongoing decrease in the frequency of complications after hepatectomy, biliary fistulas still occur and are associated with high morbidity and mortality rates. In most literature reports, surgical treatment is the gold standard for management of biliary fistula but is associated with greater morbidity. We report on an unusual technique for managing biliary fistula following left hepatectomy in a patient in whom the right posterior segmental duct joined the left hepatic duct. The biliary fistula was treated with a combined radiologic and endoscopic procedure based on the “rendezvous technique” without the need for reoperation.
