The Management of Gallstone Disease pp 347-370 | Cite as
Identification and Management of Bile Duct Injuries and Post-Operative Strictures
Chapter
First Online:
Abstract
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Bile duct injury continues to occur at an unacceptable rate following laparoscopic cholecystectomy.
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Early recognition and management in a multi-disciplinary HPB service will produce the best results.
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In those cases of bile duct transection requiring operative intervention, Hepp-Couinaud hepatico-jejunostomy will produce the best results.
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Mortality of a major bile duct transection requiring operative intervention is significantly greater compared to a routine laparoscopic cholecystectomy.
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The long term health consequences of a bile duct injury may be significant.
References
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