2011•Annals of Cancer Research and TherapyOpen access

A case of severe biliary stenosis after cholecystectomy and hepatoduodenal ligament lymph node dissection for early gallbladder cancer

Takayuki Nishi, Hideo Shimada, Mari Tokuyama, Hirohito Miyako, Hiroshi Fukumitsu, Takeaki Fujihira, Miho Nitta, Osamu Chino, Soji Ozawa, Seiei Yasuda, Kyoji Ogoshi

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Abstract

We report a patient who developed severe biliary stenosis after undergoing cholecystectomy and hepatoduodenal ligament lymph node dissection for early gallbladder cancer. A 43-year-old man underwent cholecystectomy for gallbladder cancer, developed postoperative biliary stenosis, and again underwent surgery involving bile duct resection. The pathological diagnosis for the bile duct wall was a fibrous scar with no evidence of malignancy; therefore, the biliary stenosis was presumably secondary to disruption of the bile duct blood supply caused by lymph node dissection.

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We report a patient who developed severe biliary stenosis after undergoing cholecystectomy and hepatoduodenal ligament lymph node dissection for early gallbladder cancer. A 43-year-old man underwent cholecystectomy for gallbladder cancer, developed postoperative biliary stenosis, and again underwent surgery involving bile duct resection. The pathological diagnosis for the bile duct wall was a fibrous scar with no evidence of malignancy; therefore, the biliary stenosis was presumably secondary to disruption of the bile duct blood supply caused by lymph node dissection.

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Available abstract

We report a patient who developed severe biliary stenosis after undergoing cholecystectomy and hepatoduodenal ligament lymph node dissection for early gallbladder cancer. A 43-year-old man underwent cholecystectomy for gallbladder cancer, developed postoperative biliary stenosis, and again underwent surgery involving bile duct resection. The pathological diagnosis for the bile duct wall was a fibrous scar with no evidence of malignancy; therefore, the biliary stenosis was presumably secondary to disruption of the bile duct blood supply caused by lymph node dissection.

Key concepts: Hepatoduodenal ligament, Medicine, Cholecystectomy, Gallbladder cancer, Gallbladder, Dissection (medical), Stenosis, Lymph node

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