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Bile Duct Resection

UW Health Liver and Pancreas Surgeons in Madison, Wisconsin are experts in the surgical management of bile duct disorders.

 

The bile duct is the pipe that drains the bile from the liver into the intestine. The gallbladder drains into the bile duct as it exits the liver.

 

Diseases which can require bile duct resection are:

  • Biliary strictures (narrowing of the bile duct from either benign or malignant causes)
  • Gallbladder cancer
  • Cholangiocarcinoma

Removal of the bile duct usually includes removing all the lymph nodes that surround it, called portal lymphadenectomy.

 

When the main bile duct is removed, another way for the bile to drain into the intestine has to be created. This is done by selecting a piece of the bowel, making a small opening in it, and then connecting the bile duct remaining with the liver directly to the intestine. This procedures is often referred to as hepaticojejunostomy, duodenojejunostomy or choledochojejunostomy, depending on the specific piece of bowel chosen and the location of the connection on the bile duct.