| UNUSUAL CASE |
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| Year : 2012 | Volume
: 8
| Issue : 3 | Page : 99-101 |
Transhepatic metallic stenting for hepaticojejunostomy stricture following laparoscopic cholecystectomy biliary injury: A case of successful 20 years follow-up
Gianfranco Donatelli, Didier Mutter, Parag Dhumane, Cosimo Callari, Jacques Marescaux
Department of Gastrointestinal and Endocrinal Surgery, IRCAD/EITS, University of Strasbourg, Strasbourg, France
Correspondence Address:
Gianfranco Donatelli
IRCAD/EITS, Department of Gastrointestinal and Endocrinal Surgery, University of Strasbourg, Strasbourg
France
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0972-9941.97599
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.
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