Perioperative management - Standard bilioenteric anastomosis - general and visceral surgery
You have not purchased a license - paywall is active: to the product selection
Indications
- Reinsertion of the bile ducts after resection of the pancreatic head.
- Bilioenteric bypass in unresectable neoplastic obstructions of the bile ducts and papilla.
- Iatrogenic injury to the CBD
- Congenital and acquired bile duct stenosis
Contraindications
- Significant comorbidity with unfitness for anesthesia and/or surgery
Preoperative diagnostic work-up
Following iatrogenic bile duct injury, e.g., during laparoscopic cholecystectomy, the preoperative diagnostic work-up requires vascular imaging (CT-/MRI-angiography) as well as bile duct imaging (ERCP/MRCP).
Special preparation
None
Informed consent
General risks of surgery
- Bleeding
- Thrombosis
- Embolism
- Infections
- Vascular/nerve injury
- Secondary bleeding
- Injury to adjacent organs
Special aspects of informed consent
- Dehiscent suture with biliary leaks
- Late sequela of stenosis with intermittent cholangitis
- Peritonitis
Anesthesia
Positioning
Operating room setup
Special instruments and fixation systems
Postoperative management
Single Access
Access to this lecture
for 3 days
€4.99 inclusive VAT

webop-Account Single
full access to all lectures
price per month
for the modul: vascular surgery