Technical Description of Percutaneous Neo-hepaticojejunostomy: A Case Series

Houghton E.J.; Aliaga Ramos M.M.D.P.; Marín López J.D.J.; Acquafresca P.; Fernández A.B.; Simonelli D.; Cilfone C.; Eisele C.G.; Giménez M.E. · Surgical Laparoscopy, Endoscopy and Percutaneous Techniques (2026) · DOI: 10.1097/sle.0000000000001462

Resumen

Objective: – To present a multicentric experience using percutaneous techniques for neo-hepaticojejunostomy in complex cases with disconnected bile ducts. Methods: – We retrospectively analyzed 4 complex cases in which percutaneous neo-hepaticojejunostomy was performed to address complications such as anastomotic stenosis and bile duct disconnection following Roux-en-Y hepaticojejunostomy (RYHJ). Patient selection, technique details, and short-term outcomes were evaluated. Results: – All patients had successful percutaneous reconstruction without the need for surgical reintervention. No major complications were observed. Bile flow was restored, and clinical improvement was noted in all cases. Conclusions: – Percutaneous approaches for neo-hepaticojejunostomy represent a feasible and minimally invasive alternative to traditional surgery in select cases of disconnected bile ducts. Larger prospective studies are needed to validate these findings. Copyright

Instituciones: Universidad Peruana Cayetano Heredia