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Related Experiment Video

Updated: Jul 9, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

Choledochojejunostomy revision performed by using the laparoscopic linear cutter.

Russell J Nauta¹, Chantel Hile, Allison C Nauta

¹Department of Surgery, Harvard Medical School and Mount Auburn Hospital, Cambridge, MA, USA.

American Journal of Surgery

|December 18, 2007

Summary

This study reports a novel approach using a laparoscopic linear cutter to revise a previously created choledochojejunostomy. This technique offers a solution for managing anastomotic strictures after biliary bypass surgery.

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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

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Published on: February 28, 2025

Robotic-assisted Lateral Pancreaticojejunostomy for Chronic Pancreatitis

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Published on: September 5, 2025

Area of Science:

Gastroenterology and Hepatobiliary Surgery
Surgical Innovation

Background:

Choledochojejunostomy is a standard procedure for biliary bypass in patients with benign and malignant conditions.
Anastomotic stricture represents a significant complication following enteric surgery, potentially impacting patient outcomes.

Observation:

The study details the successful revision of a choledochojejunostomy that was initially created 12 years prior for benign disease.
The revision was performed using a laparoscopic linear cutter during an open laparotomy procedure.

Findings:

The laparoscopic linear cutter was effectively utilized to revise a long-standing choledochojejunostomy.
This demonstrates the adaptability of surgical tools for complex reconstructive challenges.

Implications:

This approach may offer a viable option for managing delayed anastomotic strictures after choledochojejunostomy.
Further investigation could explore the broader application of this technique in similar surgical scenarios.