SURGISIS-assisted surgical site control in the delayed repair of a complex bile duct injury after laparoscopic cholecystectomy |
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Authors: | Evan S Ong MD W Scott Helton MD David Jho BA N Joseph Espat MD MS FACS |
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Institution: | (1) Department of Surgery, University of Illinois at Chicago, M/C 958, 840 S. Wood St., Room 435E, 60612 Chicago, IL |
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Abstract: | Although laparoscopic cholecystectomy has revolutionized the surgical approach to patients with gallbladder disease, it has
also brought a marked increase in the incidence of complex and serious bile duct injuries. Many of these major injuries represent
a major technical challenge for even the most seasoned hepatobiliary-trained surgeon. Herein, we present a case outlining
the algorithmic treatment approach for delayed-presentation complex biliary injury and report on the novel use of small intestinal
submucosal biomaterial for surgical site control in the staged repair of a complex biliary injury (Strasberg E4) after laparoscopic cholecystectomy.
Presented at the Fifth Biennial Meeting of the American Hepato-Pancreato-Biliary Association, Fort Lauderdale, Florida, April
14–17, 2005. |
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Keywords: | Biliary injury biologic prosthetic bile duct repair laparoscopic cholecystectomy |
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