[Right hepatic bile duct injury: a single stage combined laparoscopic-endoscopic treatment].

Autor: Pereira Graterol F; Unidad de Cirugía de Mínimo Acceso, Day Hospital. Lechería, Venezuela; Departamento de Cirugía, Hospital Universitario 'Dr. Luis Razetti'. Barcelona, Venezuela., Venales B Y; Unidad de Cirugía de Mínimo Acceso, Day Hospital. Lechería, Venezuela; Departamento de Cirugía, Hospital Universitario 'Dr. Luis Razetti'. Barcelona, Venezuela., Salazar Marcano F; Unidad de Cirugía de Mínimo Acceso, Day Hospital. Lechería, Venezuela; Departamento de Cirugía, Hospital Universitario 'Dr. Luis Razetti'. Barcelona, Venezuela.
Jazyk: Spanish; Castilian
Zdroj: Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru [Rev Gastroenterol Peru] 2020 Jan-Mar; Vol. 40 (1), pp. 85-88.
Abstrakt: Treatment of bile ducts injuries (BDI) treatment, combining minimally access surgical techniques, although their benefits, has been scarcely reported. We described a combined laparoscopic-endoscopic procedure, carried out in a patient with postoperative right hepatic duct (RHD) injury associated to laparoscopic cholecystectomy. Based on a clinical case description, we illustrate the surgical technique and assess their applicability and results. A biliary fistula was identified employing laparoscopic cholangiography and a metallic clip applied, producing RHD occlusion, was retrieved under fluoroscopic guidance. A biliary "rendezvous" maneuver was done for positioning an endoscopic biliary stent. The biliary fistula disappeared within two weeks and during 40-months of follow-up the patient remains asymptomatic. Laparoscopic-endoscopic approach, although technically demanding, resulted effective to treat this patient. A Continuous follow-up is essential for evaluating the long-term results.
Databáze: MEDLINE