BILE DUCT REPAIR

Course overview

INJURIES TO THE BILE DUCT ARE ALMOST UNIVERSALLY IATROGENIC AND OCCASIONALLY ARE DUE TO TRAUMA. THE MOST COMMON PROCEDURE LEADING TO BILE DUCT INJURY IS THE LAPAROSCOPIC CHOLECYSTECTOMY. PRIOR TO THE ADVENT OF LAPAROSCOPIC CHOLECYSTECTOMY, OPEN CHOLECYSTECTOMY WAS USED AND WAS ASSOCIATED WITH A 0.1 TO 0.2 PERCENT RISK OF BILE DUCT INJURY. WITH THE INTRODUCTION OF LAPAROSCOPIC CHOLECYSTECTOMY, THE INCIDENCE HAS INCREASED TO 0.4 TO 0.6 PERCENT. THIS ACTIVITY ILLUSTRATES THE EVALUATION AND MANAGEMENT OF BILE DUCT INJURIES AND THE TYPES OF REPAIR AVAILABLE AND HIGHLIGHTS THE ROLE OF THE INTERPROFESSIONAL TEAM IN MANAGING PATIENTS WHO UNDERGO BILE DUCT REPAIR.