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SIMPLIFIED LAPAROSCOPIC BILE DUCT RECONSTRUCTION USING A DOUBLE-OMEGA: AN 18 PATIENT CASE SERIES INTRODUCING A NOVEL SURGICAL APPROACH

Daniel Gomez, MD, FACS1, Luis F Cabrera, MD2, Ricardo Villarreal2, Andres Urrutia3, Eric Vinck2, Mauricio Pedraza2, Sebastian Sanchez2, Jean Pulido2. 1Military University, 2Bosque University, 3Universidad Pedagógica y Tecnológica de Tunja

Introduction: The management of Laparoscopic from the benign bile duct pathologies has become a mainstay approach because of the advantages offered to patients. Even though patients recover from the use of laparoscopic approach swiftness, bile duct trauma secondary to laparoscopic manipulation still remains a significant complication with an incidence of 0.6% in laparoscopic gallbladder surgeries.

Methods: We describe a case series use of 18 patients taken to a novel modified and simplified laparoscopic technique for a hepatic duct jejunostomy with a Roux in Y reconstruction reducing the surgical complexity and the duration of surgery of bile duct reconstruction secondary to benign bile duct pathologies.

Results: The surgery was allocated an average of 139 minutes, an average of  15cc for intraoperative bleeding, no re-intervention was required, there were no mortalities, and the average period of hospitalization was 5 days. No patients required ICU admission, no patients had postoperative bile leaks, none were converted to open surgery and all patients had oral feeding and adequate tolerance at POP 2. Long-term term follow-up showed no bile stenosis at 12 months following surgery.

Conclusion: This simplified laparoscopic approach to bile duct reconstruction long with Roux in Y anastomosis seems to be an effective, seemingly safe alternative to bile duct surgery offering patients a quicker surgery time with fewer complications.

Key words: Laparoscopic; approach; bile duct; reconstruction; duct surgery.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 93808

Program Number: P254

Presentation Session: Poster Session (Non CME)

Presentation Type: Poster

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