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Laparoscopic approach for choledochojejunostomy |
Tomohide Hori a , ∗, Yuki Aisu b , Michihiro Yamamoto a , Daiki Yasukawa b , Taku Iida c , Shintaro Yagi c , Kentaro Taniguchi d , Shinji Uemoto c |
a Department of Surgery, Shiga General Hospital, Moriyama 524-8524, Japan
b Department of Digestive Surgery, Tenriyorodusoudanjyo Hospital, Tenri 632-8552, Japan
c Department of Hepato-Biliary-Pancreatic and Surgery and Transplantation, Kyoto University Hospital, Kyoto 606-8507, Japan
d First Department of Surgery, Mie University Hospital, Tsu 514-8507, Japan
∗ Corresponding author.
E-mail address: horitomo55office@yahoo.co.jp (T. Hori). |
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Abstract Laparoscopic hepatobiliary and pancreatic (HBP) surgery has been developed slowly because of technical challenges and a protracted learning curve with the exception of laparoscopic cholecystectomy [1] . Surgical treatments for benign diseases of the extrahepatic bile duct (EHBD) are classified according to their therapeutic purpose as lithotomy (i.e., choledocholithotomy) or diversion (i.e., choledochojejunostomy) [2] . General surgeons do not perform these surgeries laparoscopically because they require advanced skills and anatomical precision [3,4] . The basic skills required for laparotomy are clearly different from those used in laparoscopic procedures. Notably, experience alone is not enough to ensure successful performance of laparoscopic surgeries [1] .
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