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. 2022 Dec 29;8:225. doi: 10.1186/s40792-022-01581-9

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© The Author(s) 2022

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 2 — Intraoperative findings of second operation. A The GB appears quite distended with white bile. B Intraoperative cholecystography revealed that the CD is completely obstructed (arrow), and intraoperative intrahepatic cholangiography revealed narrowing of the bile duct around the junction of the CD along the hepatoduodenal ligament (arrowhead). CBD, common bile duct; CD, cystic duct; CHD, common hepatic duct; GB, gallbladder; RASD, right anterior segment duct; RPSD, right posterior segment duct. C Area around the junction of the CD and CHD. The CD was resected as distally as possible (arrow). CD, cystic duct; CHD, common hepatic duct; HDL, hepatoduodenal ligament. D Hepaticojejunostomy performed in Roux-en-Y fashion. The jejunum was anastomosed with the ventral wall of the CHD. A 4-Fr hepatic drainage tube was placed in Witzel fashion (B) and a 15-Fr drainage tube was inserted via the Winslow foramen (W)