Case Scenario

• The patient was a 69 year old woman with an asymptomatic Type I Choledochal Cyst. Because of the risk of malignancy, resection was recommended.
• The cyst extended from the base of the left and right hepatic ducts into the head of the pancreas.
• The surgical plan was to identify and divide the upper and lower margin of the cyst while preserving two separate branches from the right hepatic artery (one to segment 5, one to segment 6,7, and 8), the left hepatic artery, and the portal vein.
• A Roux-en-Y hepaticojejunostomy was performed to re-establish bile flow.