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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.

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Presentation on theme: "Minimally Invasive Surgical Repair for Congenital Bronchobiliary Fistula in an Adult  Kwon Joong Na, MD, Joon Chul Jung, MD, Yoohwa Hwang, MD, Hyun Joo."— Presentation transcript:

1 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 (April 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 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  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

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

4 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  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

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

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