Reconstruction of a Common Bile Duct Injury by Venous Bypass

Biglari, Mohammad; Bussche, D Van Den; Vanlangenhove, Peter

doi:10.1080/00015458.2013.11680935

Cited by 4 publications

(1 citation statement)

References 7 publications

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“…Both techniques were described for diagnosis and treatment of ischemic biliary tree strictures, tumor stenosis, or cholelithiasis. Successful reconstruction of the bile duct using an autologous vein graft has been reported anecdotally [12].…”

Section: Reoperation For Early Bile Leaksmentioning

confidence: 99%

Leakage of Hepaticojejunal Anastomosis: Reoperation

Wellner

Keck

2017

Visc Med

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Background: Leakage of a hepaticojejunal anastomosis is a rare event with potential major morbidity. Surgeons must be aware of the technical armamentarium and pitfalls in revisional surgery for hepaticojejunal anastomosis leakage. Methods: Review of the available literature and discussion of technical details based on experience and expert opinion. Results: Early bile leaks as well as failed interventional therapy are indications for reoperation. Almost all reports only mention rates of leakage as a secondary endpoint but do not report details of treatment and outcome. Few authors have compared outcome after reoperation versus interventional approaches in observational studies, with the latter resulting in lower morbidity. The complex and individual situation of the complication makes evidence-based argumentation difficult; this is why personal expert opinions have to be taken into account in this review. The technical aspects and pitfalls of revisional surgery are outlined but represent anecdotal evidence as comparative studies are lacking. Conclusion: Bile leak after bilioenteric anastomosis is a rare condition that requires differentiated workup and therapy. Early leaks usually result from technical problems and are amenable to repair by reoperation. Reoperation technique can only be discussed on a low evidence level.

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Section: Reoperation For Early Bile Leaksmentioning

confidence: 99%

Leakage of Hepaticojejunal Anastomosis: Reoperation

Wellner

Keck

2017

Visc Med

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Anatomical biliary reconstruction as an ultimum refugium for selective cases—History and current state of knowledge

Sevcik,

Massaro,

Palek

et al. 2024

J Hepato Biliary Pancreat

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Reconstruction of extrahepatic bile ducts is a staple procedure of HPB surgery. The current standard for most cases is a nonanatomical bilioenteric reconstruction, a satisfactory option for the majority of patients. However, it cannot be used for a small number of selective cases (short bowel syndrome, severe abdominal adhesions), where an anatomical reconstruction with or without an interponate can be used. This review summarizes current knowledge about tissue and material usage for experimental and clinical anatomical bile duct reconstruction in the last 100 years. A Pubmed database was searched for published articles about anatomical extrahepatic bile duct reconstruction in experimental and clinical settings ranging from 1920 to 2022. To date, the truly optimal interponate material has not yet been found. However, evidence reveals important properties of such material, most importantly its biodegradability and neovascularization in the recipient's body. The role of internal bile duct stenting for anatomical reconstruction seems important for the outcome. Anatomical reconstruction of extrahepatic bile ducts is an uncommon but usable technique in unique cases when a nonanatomical reconstruction cannot be done. The optimal properties of interponate material for anatomical bile duct reconstruction have been more clarified, although further research is required.

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