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Identification and Management of Bile Duct Injuries and Post-Operative Strictures

  • Arthur Richardson
Chapter
First Online:

Abstract

  • Bile duct injury continues to occur at an unacceptable rate following laparoscopic cholecystectomy.

  • Early recognition and management in a multi-disciplinary HPB service will produce the best results.

  • In those cases of bile duct transection requiring operative intervention, Hepp-Couinaud hepatico-jejunostomy will produce the best results.

  • Mortality of a major bile duct transection requiring operative intervention is significantly greater compared to a routine laparoscopic cholecystectomy.

  • The long term health consequences of a bile duct injury may be significant.

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Authors and Affiliations

  1. 1.Department of Upper Gastrointestinal SurgeryWestmead HospitalWestmeadAustralia
  2. 2.University of SydneySydneyAustralia

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