PMC3913425_01
Right hepatic duct (RH), left hepatic duct (LH) and obstructed common hepatic duct (O).
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RJT106F1
Cholangiography showed moderate dilatation of the intrahepatic bile duct and a sudden obstruction in the common hepatic duct 1 cm from the confluence of the hepatic ducts, corresponding to bile duct injury classified as Bismuth II (Fig. 1). 
Segment of the jejunal loop.
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RJT106F2
A 5-cm segment was cut from the jejunal loop at a distance of 40 cm from Treitz angle (Fig. 2) and divided into two segments of 2.5 cm, each containing their respective vascular pedicles (Fig. 3).  
Sectioned segments of the jejunal loop.
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RJT106F3
A 5-cm segment was cut from the jejunal loop at a distance of 40 cm from Treitz angle (Fig. 2) and divided into two segments of 2.5 cm, each containing their respective vascular pedicles (Fig. 3).  
Detubularization.
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RJT106F4
The mesenteric and antimesenteric borders of the two segments were cut longitudinally (Fig. 4), promoting jejunal detubularization and forming two separate pedicled rectangles (Fig. 5).
Transverse retubularization.
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RJT106F6
A 21-cm tube was created using 3-0 continuous sutures of polyglactin 910 (Vicryl ) (Figs 6 and 7).
View of the final tube.
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RJT106F7
A 21-cm tube was created using 3-0 continuous sutures of polyglactin 910 (Vicryl ) (Figs 6 and 7).
Right hepatic duct (RH), left hepatic duct (LH), interposed jejunal tube (T) and antireflux valve (V).
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RJT106F8
Magnetic resonance cholangiography performed 45 months after surgery showed a functioning tube (Fig. 8).