SURGICAL THERAPIES FOR IATROGENIC BILE DUCT LESIONS (IBDL) – REVIEW

• Main Authors: Bogdan Socea, Cristian Crăciun, Ovidiu Gabriel Bratu, Cristinel Dumitru Badiu, Dan Dumitrescu, Ana Maria Alexandra Stănescu, Vlad Denis Constantin
• Format: Article
• Language: English
• Published: Amaltea Medical Publishing House 2019-06-01
• Series: Romanian Journal of Medical Practice
• Subjects: bile duct; strictures; anastomosis; cholecystectomy; iatrogenic bile duct lesions; hepaticojejunostomy; cholangiojejunostomy
• Online Access: https://revistemedicale.amaltea.ro/Romanian_Journal_of_MEDICAL_PRACTICE/Practica_medicala-2019-Nr.2/RJMP_2019_2_Art-02.pdf

The article is a review of the surgical therapies for iatrogenic bile duct lesions (IBDL). The history of the bile duct surgical procedures starts in 1882, when the first cholecystectomy is performed. There are several classifications of the IBDLs such as Bismuth, Wood et al., McMahon et al., Strasberg et al., Bergman et al., Bismuth and Majno, Stewart-Way, Hannover and Mattox. The choice of the proper surgical treatment of IBDLs depends of their type and the review describes the end-to-end repair, hepaticojejunostomy, hepaticojejunostomy without sutures, mucosal graft (Rodney Smith technique), hepaticoduodenostomy, Heineke-Mikulicz plastic repair of stricture, right and left duct hepaticojejunostomy, construction of hepatic duct bifurcation when bifurcation has been destroyed, intrahepatic cholangiojejunostomy, ligamentum teres (round ligament) approach to the left hepatic duct and Longmire procedure. Even the surgical treatment of IBDLs is in continuous development and research, their best prevention is the proper training of the biliary surgeons in the performance of safe cholecystectomies or any other abdominal surgeries, complex gastrotomies, pancreatic operations, endoscopic biliary tract investigations etc.