Publication at First Faculty of Medicine |
2009
Abstract
Biliary leak and postcholecystectomy stricture are the most frequent complications of laparoscopic cholecystectomy. Total transsection of the bile duct or its branches is considered the most severe.
Endoscopic treatment is the initial method of choice. In biliary leaks, papilosphincterotomy and introduction of biliary stent is the best option.
In strictures the treatment is more challenging and requires longterm dilatation of strictures provided by stenting. The success rate of treatment of biliary stricures is much lower compared to biliary leaks and in certain cases requires surgical biliodigestive anastomosis.