Transduodenal bile duct reconstruction - open

After ampullary resection, the orifices of the common bile duct and pancreatic duct are reimplanted into the back wall of the duodenum with interrupted absorbable sutures.

Modified from: Targarona Modena J, Rosamedina JL, Garatea R, et al. [Transduodenal ampullectomy: an useful alternative for the treatment of Vater's ampulla lesions. Case reports of an unfrecuent surgical technique]. Rev Gastroenterol Peru 2005; 25:106.

Graphic 103523 Version 1.0