Endoscopic treatment ofthe consequences of intraoperative trauma of the right hepatic duct complicated by persistent external biliary fistula
https://doi.org/10.16931/1995-5464.20194139-146
Abstract
A 67-yearold woman with acute cholecystitis and choledocholithiasis undergoing cholecystectomy, choledocholithotomy, choledochoduodenostomy by Yurash-Vinogradov is reported. Postoperative period was complicated by biliary peritonitis, bile accumulation under the liver and partial external biliary fistula. The patient underwent a staged x-ray endoscopic minimally invasive treatment including stenting of bile accumulation and the right hepatic duct. Treatment resulted complete recovery. Postoperative follow-up was 2 years, there were no signs of recurrent biliary obstruction. Literature review devoted to iatrogenic injury of the bile ducts and modern approaches to their minimally invasive elimination is presented.
About the Authors
S. G. Shapovaliyants
Chair of Hospital-Based Surgery No.2 with the Research Laboratory of Surgical Gastroenterology and Endoscopy of the Pirogov Russian National Research Medical University,
Moscow City Hospital No.31 of the Moscow Healthcare Department
Russian Federation
Russian Federation
Doct. of Sci. (Med.), Professor, Head of the Chair of Hospital-Based Surgery No.2
1, Ostrovityanova str., Moscow, 117997, Russian Federation
42, Lobachevsky str., Moscow, 119415, Russian Federation
A. G. Pankov
Moscow City Hospital No.31 of the Moscow Healthcare Department
Russian Federation
Russian Federation
Cand. of Sci. (Med.), Head of the Surgical Department No. 2
Phone: + 7-985-928-78-24
42, Lobachevsky str., Moscow, 119415, Russian Federation
S. A. Budzinskiy
Chair of Hospital-Based Surgery No.2 with the Research Laboratory of Surgical Gastroenterology and Endoscopy of the Pirogov Russian National Research Medical University,
Moscow City Hospital No.31 of the Moscow Healthcare Department
Russian Federation
Russian Federation
Cand. of Sci. (Med.), Senior Research Fellow of the Research Laboratory of Surgical Gastroenterology and Endoscopy; Senior Resident of the Endoscopic Department
1, Ostrovityanova str., Moscow, 117997, Russian Federation
42, Lobachevsky str., Moscow, 119415, Russian Federation
D. V. Bakhtiozina
Chair of Hospital-Based Surgery No.2 with the Research Laboratory of Surgical Gastroenterology and Endoscopy of the Pirogov Russian National Research Medical University,
Moscow City Hospital No.31 of the Moscow Healthcare Department
Russian Federation
Russian Federation
Research Fellow of the Research Laboratory of Surgical Gastroenterology and Endoscopy, Physician of the Endoscopic Department
1, Ostrovityanova str., Moscow, 117997, Russian Federation
42, Lobachevsky str., Moscow, 119415, Russian Federation
References
1. Chen Y.K., Parsi M.A., Binmoeller K.F., Hawes R.H., Pleskow D.K., Slivka A., Haluszka O., Petersen B.T., Sherman S., Devière J., Meisner S., Stevens P.D., Costamagna G., Ponchon T., Peetermans J.A., Neuhaus H.S. Singleoperator cholangioscopy in patients requiring evaluation of bile duct disease or therapy of biliary stones (with videos). Gastrointest. Endosc. 2011; 74 (4): 805–814. http://doi.org/10.1016/j.gie.2011.04.016
2. Rukovodstvo po khirurgii zhelchnykh putej (rukovodstvo dlya vrachej) [Guidelines for biliary surgery (a management for doctors)] Moscow: Vidar-M, 2006. P. 493–557. ISBN 5-88429-092-6. (In Russian)
3. Artemyeva N.N., Vishnevsky V.A., Kokhanenko N.Yu., Kulezneva Yu.V., Efanov M.G., Shapovalyants S.G., Budzinsky S.A., Fedorov E.D., Glebova A.V., Kashintsev A.A., Lugovoy A.L., Danilov S.A., Ulyanov Yu.N., Shiryaev Yu.N. Povrezhdeniya i rubcovye striktury zhelchnyh protokov: rukovodstvo dlya vrachej [Injury and strictures of the bile ducts: a guide for physicians]. St. Petersburg: SpecLit, 2018. P. 229–309. ISBN 978-5-299-00885-2. (In Russian)
4. Sicklick J.K., Camp M.S., Lillemoe K.D., Melton G.B., Yeo C.J., Campbell K.A., Talamini M.A., Pitt H.A., Coleman J., Sauter P.A., Cameron J.L. Surgical management of bile duct injuries sustained during laparoscopic cholecystectomy: perioperative results in 200 patients. Ann. Surg. 2005; 241 (5): 786–792.
5. Chun K. Recent classifications of the common bile duct injury. Korean J. HBP Surg. 2014; 18 (3): 69–72. http://doi.org/10.14701/kjhbps.2014.18.3.69
6. Kaman L., Sanyal S., Behera A., Singh R., Katariya R.N. Comparison of major bile duct injuries following laparoscopic cholecystectomy and open cholecystectomy. ANZ J. Surg. 2006; 76 (9): 788–791.
7. Bektas H., Schrem H., Winny M., Klempnauer J. Surgical treatment and outcome of iatrogenic bile duct lesions after cholecystectomy and the impact of different clinical classification systems. Br. J. Surg. 2007; 94 (9): 1119–1127.
8. Bektas H., Kleine M., Tamac A., Klempnauer J., Schrem H. Clinical application of the hanover classification for iatrogenic bile duct lesions. HPB Surgery. 2011: 2011: 612384. http://doi.org/10.1155/2011/612384
9. Gouma D.J., Obertop H. Management of bile duct injuries: treatment and long-term results. Dig. Surg. 2002; 19 (2): 117–122.
10. Schreuder A.M., Booij K.A.C., de Reuver P.R., van Delden O.M., van Lienden K.P., Besselink M.G., Busch O.R., Gouma D.J., Rauws E.A.J., van Gulik T.M. Percutaneous-endoscopic rendezvous procedure for the management of bile duct injuries after cholecystectomy: short- and long-term outcomes. Endoscopy. 2018; 50 (6): 577–587. http://doi.org/10.1055/s-0043-123935
11. Meek J., Fletcher S., Crumley K., Culp W.C., Meek M. Percutaneous rendezvous technique for the management of a bile duct injury. Radiol. Case Rep. 2017; 13 (1): 175–178. http://doi.org/10.1016/j.radcr.2017.11.004
12. Chen Y.K., Parsi M.A., Binmoeller K.F., Hawes R.H., Pleskow D.K., Slivka A., Haluszka O., Petersen B.T., Sherman S., Devière J., Meisner S., Stevens P.D., Costamagna G., Ponchon T., Peetermans J.A., Neuhaus H.S. Singleoperator cholangioscopy in patients requiring evaluation of bile duct disease or therapy of biliary stones (with videos). Gastrointest. Endosc. 2011; 74 (4): 805–814. http://doi.org/10.1016/j.gie.2011.04.016
Review
For citations:
Shapovaliyants S.G., Pankov A.G., Budzinskiy S.A., Bakhtiozina D.V. Endoscopic treatment ofthe consequences of intraoperative trauma of the right hepatic duct complicated by persistent external biliary fistula. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2019;24(4):139-146. (In Russ.) https://doi.org/10.16931/1995-5464.20194139-146
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