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21 July 2026 : Case report  China

Third-Redo Laparoscopic Roux-en-Y Hepaticojejunostomy for Recurrent Anastomotic Stones: A Video-Based Case Report

Unusual clinical course, Unusual or unexpected effect of treatment, Educational Purpose (only if useful for a systematic review or synthesis)

Kailong Fu ABCDEF 1, Kun Su AC 1, Renchao Zou AE 1, Zhineng Xie ABC 1, Jie Huang AG 1*

DOI: 10.12659/AJCR.953458

Am J Case Rep 2026; 27:e953458

Figure 3 Key intraoperative findings and surgical steps during the redo laparoscopic hepaticojejunostomy. (A) The anterior wall of the previous bilioenteric anastomosis showing an impacted stone (white arrow). (B) The anastomotic site after complete stone removal and choledochoscopic exploration (white arrow). (C) Reconstruction of the hepaticojejunostomy using interrupted mucosa-to-mucosa sutures (white arrow). (D) Identification of the biliary tract using indocyanine green fluorescence imaging (white arrow).

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923