A Novel Place for the Biliary Rendezvous: The Left Hepatic Duct

Atalay HO, Gündoğmuş CA, Alper E, Erhan Çil B

Department of Radiology, Koc University Hospital, Istanbul, Turkey
Department of Gastroenterology, Koc University Hospital, Istanbul, Turkey

^*Correspondance to: Cemal Aydin Gundogmus 

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Abstract:

The rendezvous technique is a hybrid approach that integrates percutaneous and endoscopic procedures to enable efficient biliary access. The process involves the percutaneous insertion of a guidewire, which is subsequently advanced to the common bile duct and duodenum, and then retrieving it with the aid of Endoscopic Retrograde Cholangiopancreatography (ERCP).
The present case aims to demonstrate the innovative application of the 'lowercase y' stent formation, along with the rendezvous at the left hepatic duct, as an unprecedented locale for the implementation of the rendezvous biliary drainage technique. This novel approach was used in a patient diagnosed with a Bismuth Type 3a Klatskin's tumor, characterized by the invasion of the common hepatic duct, as well as the left and right biliary ducts. Notably, the procedure yielded effective drainage and the patency of the stents was successfully maintained one year after the surgical intervention.

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Cite the Article:

Atalay HO, Gündoğmuş CA, Alper E, Erhan Çil B. A Novel Place for the Biliary Rendezvous: The Left Hepatic Duct. World J Surg Surgical Res. 2023; 6: 1493..