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- Title
Transhepatic metallic stenting for hepaticojejunostomy stricture following laparoscopic cholecystectomy biliary injury: A case of successful 20 years follow-up.
- Authors
Donatelli, Gianfranco; Mutter, Didier; Dhumane, Parag; Callari, Cosimo; Marescaux, Jacques
- Abstract
Laparoscopic cholecystectomy is still associated with a considerable rate of biliary injuries and related strictures. Advances in interventional endoscopy and percutaneous techniques have made stenting a preferred treatment modality for the management of these strictures. We report successful 20 years of follow-up of a case of trans-hepatic metallic stenting (2 Gianturco® prostheses, 5 cm long, 2 cm in diameter) done for stenosed hepaticojejunostomy anastomosis after laparoscopic CBD injury. Percutaneous transhepatic stenting and long-term placement of metallic stents need to be re-evaluated as a minimally invasive definitive treatment option for benign biliary strictures in patients with altered anatomy such as hepatico-jejunostomy or in whom re-operation involves high risk.
- Subjects
CHOLECYSTECTOMY; BILIARY tract; LAPAROSCOPIC surgery; JEJUNOSTOMY; SURGICAL stents; SURGICAL anastomosis; SURGICAL complications; WOUNDS &; injuries
- Publication
Journal of Minimal Access Surgery, 2012, Vol 8, Issue 3, p99
- ISSN
0972-9941
- Publication type
Article
- DOI
10.4103/0972-9941.97599