Abstract

An 80-year-old female with long-standing abdominal pain in the right upper quadrant, with a history of laparotomy due to diverticulitis, with intestinal stoma, with resolution of the same, as well as open cholecystectomy, and laparotomy due to intestinal occlusion, 3, 4 and 5 years ago years respectively. He comes to the control appointment with cholangioresonance that reports extra-hepatic dilation of the bile duct and the presence of stones, given the persistence of the symptoms, it is decided to definitively refer with hepatojejunum anastomosis in and of roux by minimal invasion assisted by robot, finding in multiple cavity Wall loop and loop-loop adhesions, indurated and vascularized, performing adherenciolysis for port placement, with external jejunal anastomosis with stapler, finding a dilated bile duct of up to 2 cm.

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