The Mastery of Bile Duct Injury.

Format:

Book

Author/Creator:

Kasnazani FRCS (Glasg), Facs.

Language:

English

Physical Description:

1 online resource (1161 pages)

Edition:

1st ed.

Place of Publication:

Chantilly : Elsevier Science & Technology, 2025.

Summary:

The Mastery of Bile Duct Injury is a comprehensive medical reference that explores the various aspects of biliary injuries, encompassing anatomy, causes, classifications, clinical management, and surgical procedures, with a particular focus on complications arising from laparoscopic cholecystectomy.

Contents:

Front Cover

The Mastery of Bile Duct Injury

Copyright

Dedication

Contents

Contributors

About the editor

Preface

Acknowledgment

1 - Introduction of biliary injury

Evolution of hepatobiliary surgery

The history of cholelithiasis and open cholecystectomy

Laparoscopy and laparoscopic cholecystectomy

References

2 - Anatomy of the biliary system

Anatomy of intrahepatic biliary system

3 - Anatomy of the extrahepatic vascular system

Anatomy of the portal venous system

Anatomy of the arterial system of the extrahepatic biliary tract

Blood supply of the bile ducts

Simple description of the embryology of the biliary system

Sphincter of Oddi

Anatomy of the hilar plate

4 - Applied anatomy of the gallbladder and its clinical significance

Mirizzi syndrome

The innervation of the biliary system

Lymphatic drainage of the liver and biliary system

5 - Cystic artery, the landmark

The cystic artery and its significance

6 - Cystic plate

7 - Cystic duct variations and biliary injuries in laparoscopic cholecystectomy

The significance of long and short cystic ducts in the clinical practice

Short cystic duct

8 - Classification of the bile duct injury during laparoscopic cholecystectomy

Bismuth-Corlette

Strasberg classification

Stewart-Way classification

Amsterdam Academic Medical Center's classification

McMahon classification

Hannover classification

Neuhaus' classification

Csendes' classification

End-side vs side-side hepaticojejunostomy for bile duct stricture after laparoscopic bile duct injury

The technique of end-to-side hepaticojejunostomy

9 - Causes of bile duct injuries in general.

Etiology of biliary injuries

Causes behind the biliary injuries in laparoscopic or open cholecystectomy

Structural causes

Causes related to the process

Various aspects of safe cholecystectomy

10 - Clinical pictures and management of vasculobiliary injuries

Injury after laparoscopic cholecystectomy

Outline of the management of biliary injuries

Management at index surgery

Major bile duct injury

Management of the cases within the first 5 days of surgery

Early postoperative biliary leak

Delayed cases of more than a week months or even years

Assessment of the detail of the injury by images

What are the major problems in biliary injuries?

Acute gallbladder disease and liver cirrhosis

11 - Epidemiology and culture of cholecystectomy

Culture of cholecystectomy

Epidemiology of the bile duct injury

12 - Pathophysiology of bile duct injury

Histopathology of bile duct injury

The gut barrier and functional components

Influences of bile on the gut barrier

Bile and the immune barrier

Bile and the Biological Barrier

Bile and mechanical barrier

Intestinal permeability in the absence of bile (obstructed bile duct)

Mechanisms of increased gut permeability in obstructed jaundice

Summary of pathophysiology of bile loss and bile duct injury and biliary obstruction

Pathophysiology-bile leak/biloma

Mechanisms of wound repair (of injured bile duct)

Bile duct injury: Local and hepatic influences

Biliary tree anatomy and physiology effects on wound healing

Periductal myofibroblasts

Para-inflammation

Summary and sequel of biliary wound healing

13 - The perspective of biliovascular injury from the best patient interest

Diagnosis

Management

Outcome and follow-up.

Description of peripheral biliary leakage in different classification systems

Description of biliary tract occlusion in different classification systems

Description of tangential bile duct lesions in different classification systems

Description of completely transected bile ducts in different classification systems

Description of late biliary tract stenosis in different classification systems

Application of the different classification systems to the clinical data

Discussion

14 - The pragmatic classifications of biliary injuries

Intraoperative detection of the injuries has its own classification, which is very different from chronic cases

Postoperative period classification

Early presentation (within a week)

Late presentation (after 1week, potentially extending up to several years)

Management of the injuries at the index operation

Advantages of the intraoperative diagnosis of biliary injuries

15 - Vascular injury during laparoscopic cholecystectomy

A perspective of right hepatic artery injury

Hepatic artery proper injury

Portal vein injury during cholecystectomy

Major vascular injury during the introduction of pneumoperitoneum

16 - Complications of laparoscopic cholecystectomy other than biliary system

Introduction of air with symmetrical distension of the abdomen

17 - Biliary strictures

Etiology of the biliary strictures

Management of iatrogenic biliary strictures

18 - Complex biliary injury

Management of complex biliary injury

Injury diagnosed in the postoperative period

Bile duct injury, secondary biliary cirrhosis, and portal hypertension

19 - Long-term economic impact on iatrogenic bile duct injury

20 - Medicolegal.

The financial aspect of biliary injuries and cost analysis

21 - Noniatrogenic bile duct trauma

Clinical presentation

Traumatic biliary stricture

Evaluation of bile duct injuries

Clinical definition of minor or significant bile duct injuries

Classification of anatomical and severity of bile duct injuries

Management of intrahepatic bile duct injuries

Intrahepatic bile duct trauma

Hemobilia

Biloma

Extrahepatic bile duct trauma

Gallbladder injuries

Confluent and hepatic duct trauma

Management of bile duct injuries endoscopically

Normal progression of bile duct injuries

Management of posttraumatic bile duct strictures

Concluding remarks

22 - A review of the prevention of iatrogenic bile duct injury

Preoperative steps

Preoperative consent

Operative factors

Structures

Operative process

23 - Anastomosis for injured bile duct

Duct to duct biliary anastomosis after iatrogenic bile duct injury, the literature results

Comparison between duct to duct and HJ

The technical aspect of duct-to-duct anastomosis

Suture materials

Bilioenteric anastomosis

Choledochoduodenostomy and bile duct injury

Further reading

24 - Difficult laparoscopic cholecystectomy

Difficult laparoscopic cholecystectomy and trainees: Predictors and results

Avoiding the difficulties

25 - The psychological impact of bile duct injuries on laparoscopic cholecystectomy surgeons

26 - Bleeding complication

Special aspects of bleeding complications of laparoscopic cholecystectomy

Diagnosis and management of bleeding complication

Classifications of the bleeding complication

Pattern of bleeding and mechanisms of injuries

Causes and prevention of bleeding complications

Preoperative factors.

Operative factors

Management of bleeding during laparoscopy

27 - Enhancing safety: The critical view approach

CVS in severe inflammation

28 - Conversion to open surgery in laparoscopic cholecystectomy

Predicting difficulties in laparoscopic cholecystectomy highlighted by clinical and radiological assessment

Factors related to the gallbladder

Surgeon's factors

Laparoscopic equipment and ergonomics of laparoscopy

29 - Follow-up and effect of mental stress

Follow-up of the patient sustains a vascular-biliary injury during laparoscopic cholecystectomy

Clinical assessment

Biochemical panel

Imaging techniques

Risk factors for the anastomotic stricture after hepaticojejunostomy

Details regarding the risk factors for BBS following iatrogenic bile duct injury

30 - Images after laparoscopic cholecystectomy, normal findings versus complications

Normal image appearance after laparoscopic cholecystectomy

Images and biliary complication after laparoscopic cholecystectomy

Stump cholelithiasis

Cystic stump mucocele

Cystic stump inflammation

Neuroma and suture granuloma

Sphincter of Oddi dysfunction

Functional pancreatic sphincter disorder

Biliary injuries

Choledocholithiasis

Choledocho-duodenal fistula

Clip migration

Post-laparoscopic cholecystectomy vascular injury

Dropped gallstones

31 - Surveillance of bile duct injury after its management

Management of late complications and outcomes

Standards for reporting outcomes of treating biliary injuries

32 - Role of light cholangiography in the prevention of bile duct

33 - Intraoperative ultrasound and its detection of vascular-biliary injury

Laparoscopic ultrasound and its role in vascular-biliary injuries.

Technical aspects of laparoscopic ultrasound.

Notes:

Description based on publisher supplied metadata and other sources.

ISBN:

0-443-34002-1

OCLC:

1525621847