Minimally Invasive Surgical Repair for Congenital Bronchobiliary Fistula in an Adult Kwon Joong Na, MD, Joon Chul Jung, MD, Yoohwa Hwang, MD, Hyun Joo.

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Minimally Invasive Surgical Repair for Congenital Bronchobiliary Fistula in an Adult Kwon Joong Na, MD, Joon Chul Jung, MD, Yoohwa Hwang, MD, Hyun Joo Lee, MD, PhD, In Kyu Park, MD, PhD, Chang Hyun Kang, MD, PhD, Jin-Young Jang, MD, PhD, Young Tae Kim, MD, PhD The Annals of Thoracic Surgery Volume 101, Issue 4, Pages 1584-1587 (April 2016) DOI: 10.1016/j.athoracsur.2015.05.126 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Preoperative computed tomographic and bronchoscopic findings. (A) Fistulous tract (solid arrow) and air density in left hepatic duct system (dotted arrow). (B) Pneumonic consolidation of right lung. (C) Bile-stained fluid aspirated from the anomalous orifice of the fistula (white arrow). (RBI = right bronchus intermedius; RUL = right upper lobe.) The Annals of Thoracic Surgery 2016 101, 1584-1587DOI: (10.1016/j.athoracsur.2015.05.126) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Postoperative photograph of port placements. (A) Laparoscopic surgical procedure. (B) Thoracoscopic surgical procedure. (ICS = intercostal space.) The Annals of Thoracic Surgery 2016 101, 1584-1587DOI: (10.1016/j.athoracsur.2015.05.126) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Intraoperative and gross findings from fistula. (A) Thoracoscopic findings. (B) Fistulous tract resected from abdomen. Note small metal dilator passed through lumen. (C) Fistulous tract resected from thorax. The Annals of Thoracic Surgery 2016 101, 1584-1587DOI: (10.1016/j.athoracsur.2015.05.126) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Pathologic findings from fistula. Note the ciliated columnar epithelial lining and cartilage around fistula. The Annals of Thoracic Surgery 2016 101, 1584-1587DOI: (10.1016/j.athoracsur.2015.05.126) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions