Case report shows a surgical approach for managing prior biliary reconstruction in ampullary carcinoma, suggesting new techniques.
INTRODUCTION: Pancreaticoduodenectomy (PD) can be technically challenging in patients who previously underwent biliary reconstruction, particularly hepaticojejunostomy. The optimal strategy for managing a prior hepaticojejunostomy during PD has not been well established.
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Uesato et al. (2026) studied this question.
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