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第58卷 第2期 2025-3
Predatory publisher and low standard journal: An emerging problem in clinical surgery field

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第58卷 第2期 2025-3
Conflict of interest in clinical surgery: Contemporary concern in digital era

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第58卷 第2期 2025-3
Postpublication redecision and pitfalls of inadequate standards in scientific surgical journals: Important consideration in academic publication

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第58卷 第2期 2025-3
Spontaneous bilateral basal ganglia hemorrhage

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第58卷 第2期 2025-3
Academic characterization of the Formosan Journal of Surgery: A five-year bibliometric analysis

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第58卷 第2期 2025-3
Supra-sternal reconstruction for a high-hanging fruit like right subclavian artery aneurysm

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第58卷 第2期 2025-3
Operations for choledochal cysts: A 25-year experience at a tertiary care center in India

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第58卷 第2期 2025-3
A case report: Can a titanised polypropylene mesh (TiMesh) obviate a dual mesh for sandwich technique for parastomal hernias?

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第58卷 第2期 2025-3
Recurrent gallstone ileus, a deadly encounter: A case report

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第58卷 第2期 2025-3
The changes in dietary intake and tolerance for Chinese food after bariatric surgery in Taiwan

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第58卷 第2期 2025-3
Diagnostic value of trans-recto-perineal ultrasound in perianal fistula—preoperative versus intraoperative findings: A comparative cross-section study

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第58卷 第2期 2025-3
Efficacy and safety of extended-release dinalbuphine sebacate for postoperative analgesia: A systematic review and meta-analysis

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第58卷 第2期 2025-3
Dynamic changes in segmented neutrophil-to-monocyte ratio in trauma patients with stress-induced hyperglycemia: A retrospective study

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第58卷 第1期 2025-1
Ensuring authorship qualification in clinical research articles: A focus on surgical therapy studies

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第58卷 第1期 2025-1
Estimated risk for transfusion of monkeypox contaminated perioperative blood transfusion: A call to action for stronger regulations and testing protocols

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第58卷 第1期 2025-1
Insights into traumatic and crisis surgery: Implications of data analysis in conflict zones

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第58卷 第1期 2025-1
Tongue peeling as an adverse reaction with use of micronized purified flavonoid: A case report

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第58卷 第1期 2025-1
Pilonidal sinus of scrotum: A rare clinical entity

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第58卷 第1期 2025-1
Incidental autopsy finding of retiform hemangioendothelioma of the spleen

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第58卷 第1期 2025-1
Retroperitoneal laparoscopy for hydronephrosis due to multiple fibroepithelial polyps: A case series

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篇名 Obstructive jaundice caused by absence of common bile duct: a case report
作者 Pei-Min Hsieh, Yaw-Sen Chen
卷期/出版年月 36卷3期 (2003/6)
頁次 132-136
摘要 Absence of the common bile duct is a rare biliary anomaly. The bile drains into the gallbladder directly via the cholecystohepatic ducts and into the duodenum through the cystic duct. The pre-operative diagnosis is difficult and may be confused with the choledochal cyst or hydrops of the gallbladder. Nonawareness of this anomaly will lead to dreaded complications during biliary surgery, such as bile leakage or hepatic duct injury. We presented one case of such a rare anomaly. A 57-year-old male patient presenting with progressive jaundice was admitted under the impression of obstructive jaundice. After a series of examinations, choledochal cyst was suspected. During the operation, absence of common bile duct with two hepatic ducts draining directly into the gallbladder was noted. The bile drained into the duodenum through the cystic duct. Total excision of the extrahepatic biliary system with Roux-en-Y hepatic cojejunostomy reconstruction was performed. The post-operative course was uneventful and the patient was discharged on the 9th post-op day. He has been regularly followed up for 5 years without any biliary complication.
關鍵詞 bile duct anomaly, biliary surgery, obstructive jaundice
分類 Case Report

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