Post-cholecystectomy Bile Duct Injury

Description:

This book provides detailed insight to the readers into various aspects of bile duct injury. Bile duct injury is a common complication of cholecystectomy to treat gall stone disease prevalent all over the world. Risk of bile duct injury is more during a laparoscopic procedure as compared to open procedure and most cholecystectomies today are performed laparoscopically. Bile duct injury causes major morbidity and may even result in death, additionally it increases the healthcare costs and impairs quality of life. It is therefore important that every surgeon who performs cholecystectomy knows how to suspect, diagnose, manage and prevent bile duct injury.  This book provides practical information and offers assistance in managing patients with difficult cases of bile duct injury. It summarises Dr Kapoor’s experience with management of more than 1,000 patients with post-cholecystectomy bile duct injury/ biliary stricture. Chapters cover anatomy, epidemiology, mechanism, pathophysiology, clinical presentation, investigations, classification, diagnosis, management and prevention of bile duct injury. It also includes non-medical issues including health care, socio-economic, costs and quality of life.  

Table of Contents:

1. Surgical Anatomy of the Hepato-Biliary System

2. Epidemiology of Bile Duct Injury

3. Mechanisms of Causation of Bile Duct Injury

4. Tips and Tricks for Safe Cholecystectomy

5. Prevention of Bile Duct Injury During Cholecystectomy

6. Pathophysiology of Bile Leak, Bile Loss, and Biliary Obstruction

7. Non-biliary Injuries During Cholecystectomy

8. Nomenclature and Classification of Bile Duct Injury

9. Management of Bile Duct Injury Detected Intraoperatively

10. Management of Bile Duct Injury Detected in the Post-Operative Period

11. Consequences of Bile Duct Injury: External Biliary Fistula

12. Consequences of Bile Duct Injury: Benign Biliary Stricture

13. Surgical Management of Benign Biliary Stricture: Hepatico-Jejunostomy

14. Surgical Management of Benign Biliary Stricture: Hepatectomy

15. Non-surgical Management of Benign Biliary Stricture

16. Follow-Up After Repair of Bile Duct Injury

17. Healthcare Issues Related to Bile Duct Injury

18. Socio-Economic and Medico-Legal Issues Related to Bile Duct Injury

19. Institutional Experiences with Bile Duct Injury

20. Bile Duct Injury Stories