fig1

Figure 1. Case A: (A) Partial thermal lesion of the right posterior duct (black arrow). (B) Closure of the lateral defect in the common hepatic duct with interrupted stitches. (C) Proximal stump of the aberrant right posterior duct after resection up to the level of the bifurcation for segment 6 and 7 ducts (black arrowhead). (D) Right posterior RYHJ. (E) The end-to-side RYHJ is completed. (F) Final view of the retro-colic jejunal loop and the gallbladder fossa (asterisk) after cholecystectomy. (G) Postoperative view of the abdomen with the previous open scar and the trocar disposition for the biliodigestive repair. (H) One year after surgery, a magnetic resonance cholangiopancreatography shows a patent right posterior RYHJ (red circle) without dilatation of the intrahepatic biliary tree. The jejunal loop (white arrowhead) is seen next to the duodenum (white arrow). RYHJ: Roux-en-Y hepaticojejunostomy.