Why to organize the secondary planned management of a Strasberg E bile duct injury occurring during laparoscopic cholecystectomy

G. Pasinato (1) , J.-M Regimbeau (1, 2)

1 Chirurgie digestive [CHU Amiens]
2 SSPC - Simplification des soins chez les patients complexes - UR UPJV 7518

Biliary tract injury during laparoscopic cholecystectomy is a serious complication that leads to multiple additional examinations, a longer length of stay, and a significant decrease in the quality of life. This unexpected complication shifts the programmed management into the rhythm of a surgical emergency and the patient from the ambulatory atmosphere to that of long-term hospitalization. We present a discussion of the interest of the secondary planned management of a Strasberg E bile duct injury, illustrated by a concrete clinical case. The strategy that we describe allows this emergency situation to be put back into a planned, programmed situation, under good clinical and biological conditions, after a complete workup, including discussion in a multidisciplinary consultation meeting and management by another operator who specializes in biliary pathology, while giving the patient a fair and optimal explanation.

Domaines: Chirurgie

G. Pasinato, J.-M Regimbeau. Why to organize the secondary planned management of a Strasberg E bile duct injury occurring during laparoscopic cholecystectomy. Surgery Open Digestive Advance, 2023, 10, pp.100086. ⟨10.1016/j.soda.2023.100086⟩. ⟨hal-04083701⟩