Management of surgical complications

Helmi Khadra, Terence Jackson, Jeffrey Marks

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

During the past three decades, major changes have occurred in the management of common bile duct (CBD) stones. For many years, open CBD exploration was the gold standard for managing choledocholithiasis. However, the advent of endoscopy and minimally invasive surgery, with considerably lower morbidity and mortality, has replaced open surgery as first-line treatment. Nevertheless, an understanding of the potential complications is essential for treatment planning and postoperative care. The most common complications of laparoscopic and open approaches to CBD exploration are retained and recurrent CBD stones, bile leak, bile duct injury, abscess/cholangitis, and pancreatitis. This chapter reviews these potential complications of and discusses the management of major intraoperative, postoperative, and delayed complications related to surgical treatment of CBD stones.

Original languageEnglish (US)
Title of host publicationMultidisciplinary Management of Common Bile Duct Stones
PublisherSpringer International Publishing
Pages129-144
Number of pages16
ISBN (Electronic)9783319227658
ISBN (Print)9783319227641
DOIs
StatePublished - Jan 1 2015

Keywords

  • Bile duct injury
  • Bile leak
  • Cholangitis
  • Choledochoscopy
  • Common bile duct exploration
  • Pancreatitis

ASJC Scopus subject areas

  • Medicine(all)

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