Transhepatic metallic stenting for hepaticojejunostomy stricture following laparoscopic cholecystectomy biliary injury: A case of successful 20 years follow-up

• Main Authors: Gianfranco Donatelli, Didier Mutter, Parag Dhumane, Cosimo Callari, Jacques Marescaux
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2012-01-01
• Series: Journal of Minimal Access Surgery
• Subjects: Biliary SEMS; hepatico-jejunostomy stricture; iatrogenic bile duct injuries; metallic biliary stents; percutaneous transhepatic biliary stenting; postoperative biliary strictures
• Online Access: http://www.journalofmas.com/article.asp?issn=0972-9941;year=2012;volume=8;issue=3;spage=99;epage=101;aulast=Donatelli

Laparoscopic cholecystectomy is still associated with a considerable rate of biliary injuries and related strictures. Advances in interventional endoscopy and percutaneous techniques have made stenting a preferred treatment modality for the management of these strictures. We report successful 20 years of follow-up of a case of trans-hepatic metallic stenting (2 Gianturco® prostheses, 5 cm long, 2 cm in diameter) done for stenosed hepatico-jejunostomy anastomosis after laparoscopic CBD injury. Percutaneous transhepatic stenting and long-term placement of metallic stents need to be re-evaluated as a minimally invasive definitive treatment option for benign biliary strictures in patients with altered anatomy such as hepatico-jejunostomy or in whom re-operation involves high risk.