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Biliary and Duodenal Surgery

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Book cover Upper Abdominal Surgery

Abstract

Biliary surgery has developed rapidly with the advent of laparoscopic procedures, which have led to a plethora of minimally invasive techniques. The management of biliary calculi using endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic transcystic duct exploration techniques, coupled with radiological interventional methods, has meant that many patients can often be treated more quickly with shorter hospital stays and earlier return to their activities. This chapter aims to provide useful information on complications, risks, and consequences related to biliary surgery. For other associated procedures, refer to the relevant chapter and volume.

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Further Reading, References, and Resources

Endoscopic Retrograde Cholangio-pancreatography (ERCP)

  • Cotton PB. Towards safer endoscopic retrograde cholangiopancreatography (ERCP). Gut. 1994;35:284.

    Article  CAS  PubMed  Google Scholar 

  • Freeman ML, DiSario JA, Nelson DB, Fennerty MB, Lee JG, Bjorkman DJ, Overby CS, Aas J, Ryan ME, Bochna GS, Shaw MJ, Snady HW, Erickson RV, Moore JP, Roel JP. Risk factors for post-ERCP pancreatitis: a prospective, multicenter study. Gastrointest Endosc. 2001;54:425–34.

    Article  CAS  PubMed  Google Scholar 

  • Hannigan BF, Keeling PW, Slavin B, Thompson RP. Hyperamylasemia after ERCP with ionic and non-ionic contrast media. Gastrointest Endosc. 1985;31:109–10.

    Article  CAS  PubMed  Google Scholar 

Open Choledochostomy and Choledochoscopy (Rigid or Flexible)

  • Blumgart LH, Fong Y. Surgery of the liver and biliary tract. New York: W.B. Saunders; 2000.

    Google Scholar 

  • Metcalfe MS, Ong T, Breuning MH, Iswariah H, Wemyss-Holden SA, Maddern GJ. Is laparoscopic intraoperative cholangiogram a matter of routine? Am J Surg. 2004;187(4):475–81.

    Google Scholar 

Open Cholecystectomy (Without Common Bile Duct Exploration)

  • Melton GB, Lillemoe KD, Cameron JL, Sauter PA, Coleman J, Yeo CJ. Major bile duct injuries associated with laparoscopic cholecystectomy: effect of surgical repair on quality of life. Ann Surg. 2002;235:888–95.

    Article  PubMed  Google Scholar 

  • Metcalfe MS, Ong T, Breuning MH, Iswariah H, Wemyss-Holden SA, Maddern GJ. Is laparoscopic intraoperative cholangiogram a matter of routine? Am J Surg. 2004;187(4):475–81.

    Google Scholar 

  • Yoshidome H, Miyazaki M, Shimizu H, Ito H, Nakagawa K, Ambiru S, Nakajima N, Edwards MJ, Lentsch AB. Obstructive jaundice impairs hepatic sinusoidal endothelial cell function and renders liver susceptible to hepatic ischemia/reperfusion. J Hepatol. 2000;33:59–67.

    Google Scholar 

Laparoscopic Cholecystectomy (Without Common Bile Duct Exploration)

  • Fletcher DR, Hobbs MS, Tan P, Valinsky LJ, Hockey RL, Pikora TJ, Knuiman MW, Sheiner HJ, Edis A. Complications of cholecystectomy: risks of the laparoscopic approach and protective effects of operative cholangiography: a population-based study. Ann Surg. 1999;229:449–57.

    Article  CAS  PubMed  Google Scholar 

  • Metcalfe MS, Ong T, Breuning MH, Iswariah H, Wemyss-Holden SA, Maddern GJ. Is laparoscopic intraoperative cholangiogram a matter of routine? Am J Surg. 2004;187(4):475–81.

    Google Scholar 

  • Schol FP, Go PM, Gouma DJ. Outcome of 49 repairs of bile duct injuries after laparoscopic cholecystectomy. World J Surg. 1995;19:753–6.

    Article  CAS  PubMed  Google Scholar 

  • Yoshidome H, Miyazaki M, Shimizu H, Ito H, Nakagawa K, Ambiru S, Nakajima N, Edwards MJ, Lentsch AB. Obstructive jaundice impairs hepatic sinusoidal endothelial cell function and renders liver susceptible to hepatic ischemia/reperfusion. J Hepatol. 2000;33:59–67.

    Google Scholar 

Open Cholecystectomy with Common Bile Duct Exploration

  • Blumgart LH, Fong Y. Surgery of the liver and biliary tract. New York: W.B. Saunders; 2000.

    Google Scholar 

  • Metcalfe MS, Ong T, Breuning MH, Iswariah H, Wemyss-Holden SA, Maddern GJ. Is laparoscopic intraoperative cholangiogram a matter of routine? Am J Surg. 2004;187(4):475–81.

    Google Scholar 

Laparoscopic Cholecystectomy with Exploration of the Common Bile Duct

  • Dorman JP, Franklin Jr ME, Glass JL. Laparoscopic common bile duct exploration by choledochotomy. An effective and efficient method of treatment of choledocholithiasis. Surg Endosc. 1998;12:926–8.

    Article  CAS  PubMed  Google Scholar 

  • Ferguson CM. Laparoscopic common bile duct exploration: practical application. Arch Surg. 1998;133:448–51.

    Article  CAS  PubMed  Google Scholar 

  • Metcalfe MS, Ong T, Breuning MH, Iswariah H, Wemyss-Holden SA, Maddern GJ. Is laparoscopic intraoperative cholangiogram a matter of routine? Am J Surg. 2004;187(4):475–81.

    Google Scholar 

  • Wu JS, Soper NJ. Comparison of laparoscopic choledochotomy closure techniques. Surg Endosc. 2002;16:1309–13.

    Article  CAS  PubMed  Google Scholar 

Biliary Bypass Drainage Procedures

  • Blumgart LH, Fong Y. Surgery of the liver and biliary tract. New York: W.B. Saunders; 2000.

    Google Scholar 

  • Jarnagin WR, Burke E, Powers C, Fong Y, Blumgart LH. Intrahepatic biliary enteric bypass provides effective palliation in selected patients with malignant obstruction at the hepatic duct confluence. Am J Surg. 1998;175:453–60.

    Google Scholar 

  • Tocchi A, Mazzoni G, Liotta G, Lepre L, Cassini D, Miccini M. Late development of bile duct cancer in patients who had biliary-enteric drainage for benign disease: a follow-up study of more than 1,000 patients. Ann Surg. 2001;234:210–14.

    Google Scholar 

Resection of the Upper Bile Duct: Roux-en-Y Hepatico-jejunostomy

  • Jarnagin WR, Burke E, Powers C, Fong Y, Blumgart LH. Intrahepatic biliary enteric bypass provides effective palliation in selected patients with malignant obstruction at the hepatic duct confluence. Am J Surg. 1998;175:453–60.

    Google Scholar 

  • Jarnagin WR, Fong Y, DeMatteo RP, Gonen M, Burke EC, Bodniewicz BJ, Youssef BM, Klimstra D, Blumgart LH. Staging, resectability, and outcome in 225 patients with hilar cholangiocarcinoma. Ann Surg. 2001;234:507–19.

    Article  CAS  PubMed  Google Scholar 

  • Tocchi A, Mazzoni G, Liotta G, Lepre L, Cassini D, Miccini M. Late development of bile duct cancer in patients who had biliary-enteric drainage for benign disease: a follow-up study of more than 1,000 patients. Ann Surg. 2001;234:210–14.

    Google Scholar 

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Correspondence to Robert C. G. Martin MD, PhD .

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© 2014 Springer-Verlag London

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Martin, R.C.G., McMasters, K.M., Coventry, B.J. (2014). Biliary and Duodenal Surgery. In: Coventry, B. (eds) Upper Abdominal Surgery. Surgery: Complications, Risks and Consequences. Springer, London. https://doi.org/10.1007/978-1-4471-5436-5_7

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  • DOI: https://doi.org/10.1007/978-1-4471-5436-5_7

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5435-8

  • Online ISBN: 978-1-4471-5436-5

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