This talk was presented at the 2018 SAGES Meeting/16th World Congress of Endoscopic Surgery by Laleh G Melstrom during the When Bad Things Happen to Good People: “Emergency Bile Spill Response” on April 12 2018
Keyword(s): abdominal drain, aberrant anatomy, absorbable suture, anatomy, antibiotics, assessment, assistant, BDI, bile bag, bile drainage, bile duct injury, bile duct repair, bile leak, biliary anatomy, biliary obstruction, biliary surgery, bilirubin, Bismuth, blood supply, bowel flora, cannulation, cholangiogram, cholangitis, cholecystitis, choledochojejunostomy, common bile duct, conduit, confluence, conversion, counseling, CT scan, delayed repair, depression, drain, emergency bile spill response, ERCP, experience, exposure, extrahepatic, hepatobiliary surgeon, HIDA scan, HPB surgeon, incidence, inflammation, interventional radiologist, intraoperative cholangiogram, IOC, IR, jejunum, laceration, laparoscopic cholecystectomy, laparotomy, ligament of Treitz, liver bed, liver resection, middle colic vessels, morbidity, mortality, MRCP, occlusion, pediatric feeding tube, percutaneous drain, PTC, QoL, quality of life, RNY hepaticojejunostomy, Roux-en-Y hepaticojejunostomy, sepsis, serosal patch, small bowel, stent, Strasberg classification, stricture, T-tube, technique, transection, vascular anatomy
Bile leak–16 sec JACS 2014
Intraop recognition–1:43
Strasberg classification–3:27
Fix now or later?–4:10
Preop studies–10:02
RNY hepaticojejunostomy–12:33
Technical considerations for delayed repair–12:42
Summary–13:59