ASGE DDW Videos from Around the World | 2026-CHOLANGIO-PERITONEOSCOPY IN MANAGEMENT OF COMPLEX POST-CHOLECYSTECTOMY BILIARY INJURIES

CHOLANGIO-PERITONEOSCOPY IN MANAGEMENT OF COMPLEX POST-CHOLECYSTECTOMY BILIARY INJURIES

Video Transcription

Video Summary

This case series describes cholangioperitoneoscopy for complex post-cholecystectomy bile duct injuries. In three patients with persistent bile leaks after surgery, standard ERCP failed because wires could not access the intrahepatic ducts and often entered peritoneal collections. Using cholangioscopy through leaks, fistulas, or collections, the team identified ligated or clipped ducts, regained biliary continuity, and placed stents and drains. In one case, a fistula was also used to treat an unsuspected hydatid cyst. The approach controlled leaks, resolved symptoms, and in some cases converted urgent surgery into elective reconstruction, or potentially avoided surgery altogether.

Asset Subtitle

Endoscopy in Action
Submitted by Sahaj Rathi

Keywords

cholangioperitoneoscopy

bile duct injury

post-cholecystectomy bile leak

ERCP failure

biliary stenting