Use of the gallbladder neck in the reconstruction of the bifurcation of the main hepatic ducts.

A case of successful resection of an adenocarcinoma of the junction of the right, left and common hepatic ducts is reported. The right hepatic duct was anastomosed to the gallbladder neck and the left hepatic to the common hepatic duct in order to restore the continuity of the biliary tract. This unusual technique offered effective decompression. It may prove, in selected patients with a normal gallbladder and a wide cystic duct, to be a useful alternative to other commonly performed internal drainage procedures.