Perioperative management - Anastomosis technique, biliodigestive, classical

• Reconnection of the bile ducts after pancreatic head resection
• Bypass anastomosis for non-resectable tumor occlusions of the bile ducts and papilla
• Accidental common bile duct injuries
• Congenital or acquired stenoses of the bile ducts

• Relevant comorbidities with inability to undergo surgery or anesthesia

In cases of previous iatrogenic injury to the bile ducts, e.g., in the context of a laparoscopic cholecystectomy, preoperative diagnostics with imaging of the vessels (Angio-CT / Angio-MR) as well as imaging of the biliary system (ERCP/MRCP) is necessary.

none

General information on surgical risks:

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

Specific information:

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