Journal of Minimal Access Surgery

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

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.


How to cite this article:
Donatelli G, Mutter D, Dhumane P, Callari C, Marescaux J. Transhepatic metallic stenting for hepaticojejunostomy stricture following laparoscopic cholecystectomy biliary injury: A case of successful 20 years follow-up.J Min Access Surg 2012;8:99-101


How to cite this URL:
Donatelli G, Mutter D, Dhumane P, Callari C, Marescaux J. Transhepatic metallic stenting for hepaticojejunostomy stricture following laparoscopic cholecystectomy biliary injury: A case of successful 20 years follow-up. J Min Access Surg [serial online] 2012 [cited 2019 Aug 25 ];8:99-101
Available from: http://www.journalofmas.com/article.asp?issn=0972-9941;year=2012;volume=8;issue=3;spage=99;epage=101;aulast=Donatelli;type=0