Perioperative management - Anastomosis technique, biliodigestive, according to Hepp-Couinaud

• Reconnection of the bile ducts after pancreatic head resection
• Bypass anastomosis in non-resectable tumor obstructions of the bile ducts and papilla
• Accidental choledochus injuries
• Congenital or acquired strictures of the bile ducts

• Relevant comorbidities with inability for surgery or anesthesia

In cases of previous iatrogenic injury to the bile ducts, such as during a laparoscopic cholecystectomy, preoperative diagnostics including vascular imaging (Angio-CT / Angio-MR) and visualization of the biliary system (ERCP/MRCP) are necessary.

none

General information about the risks of surgery:

• Bleeding
• Thrombosis
• Embolism
• Infections
• Vascular-nerve injury
• Rebleeding
• Injury to adjacent organs

Specific information:

• Dehiscence with bile leakage
• Stenosis with intermittent cholangitis as a late complication
• Peritonitis