ASGE DDW Videos from Around the World | 2023-STAGED HEPATICOGASTROSTOMY AND RETROPERITONEOSCOPY TO RECONNECT A TRANSECTED BILE DUCT

STAGED HEPATICOGASTROSTOMY AND RETROPERITONEOSCOPY TO RECONNECT A TRANSECTED BILE DUCT

Video Transcription

Video Summary

In this video, a case of a 32-year-old female who experienced bile leakage after laparoscopic cholecystectomy is presented. The patient underwent various procedures including hepaticogastrostomy, ERCP, cholangioscopy, and retroperitoneoscopy to repair the transected bile duct. Hepaticogastrostomy with a fully covered self-expandable metal stand was initially performed to allow internal biliary drainage and guidewire access. Retroperitoneoscopy was used to retrieve the guidewire and insert a plastic stand across the transected bile duct. Eventually, the plastic stand was replaced with a fully covered self-expandable metal stand. The video concludes that this minimally invasive approach using interventional EOS shows promise for complete repair of transected bile ducts. No credits are mentioned in the video.

Asset Subtitle

World Cup
Best of the Best - ERCP
Authors: Ramón Sánchez-Ocaña, Antonio Martinez-Ortega, Samuel J. Fernández-Prada, Carlos De La Serna, Manuel Perez-Miranda

Keywords

laparoscopic cholecystectomy

bile leakage

hepaticogastrostomy

ERCP

retroperitoneoscopy