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Biliary access techniques in patients with surgically altered anatomy

Epublication WebSurg.com, Mar 2016;16(03). URL: http://websurg.com/doi/lt03enperezmiranda004

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  • 2016-03-10
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Iatrogenic bile duct injuries following surgery are associated with life-threatening complications. Most injuries occur following open or laparoscopic cholecystectomies. The incidence of bile duct injury (BDI) has increased when a laparoscopic approach is used. The current incidence of BDI using a laparoscopic approach is comprised between 0.5 and 2.7%. The presented clinical cases include bile leakage, bilioma, peritonitis or a local abscess, and only 30% of cases are recognized intraoperatively. The main modality of treatment is surgery. However, endoscopic management is a current alternative. This video highlights the various methods for the management of biliary leaks and postoperative biliary strictures.