Case Report

Challenges of Surgical Treatment of Atypical Giant Choledochal Cyst with the Absence of Gallbladder in Adult Patient

Figure 3

Operating field after cyst resection. Destruction of the posterior side of the pancreatic head with suppressed ventral duodenum. Common bile duct cut immediately below the hepatic ducts confluence. Biliary cannula temporarily placed in the ampulla of Vateri for intraoperative orientation (HD: hepatic ducts confluence; HA: hepatic artery; JL: jejunal loop; PH: pancreatic head; D: duodenal frame; BC: biliary cannula).