title: SURGISIS-assisted surgical site control in the delayed repair of a complex bile duct injury after laparoscopic cholecystectomy.
abstract: Although laparoscopic cholecystectomy has revolutionized the surgical approach to patients with gallbladder disease, it has also brought a marked increase in the incidence of complex and serious bile duct injuries. Many of these major injuries represent a major technical challenge for even the most seasoned hepatobiliary-trained surgeon. Herein, we present a case outlining the algorithmic treatment approach for delayed-presentation complex biliary injury and report on the novel use of small intestinal submucosal biomaterial for surgical site control in the staged repair of a complex biliary injury (Strasberg E4) after laparoscopic cholecystectomy.
authors.affiliation: Department of Surgery, University of Illinois at Chicago, 840 S. Wood Street, Chicago, IL 60612, USA.
authors.forename: Evan S
authors.initials: ES
authors.lastname: Ong
authors.forename: W Scott
authors.initials: WS
authors.lastname: Helton
authors.forename: David
authors.initials: D
authors.lastname: Jho
authors.forename: N Joseph
authors.initials: NJ
authors.lastname: Espat
mesh_terms: D000368:Aged; D017734:Bile Ducts, Extrahepatic / Q000293:injuries* / Q000601:surgery; D001672:Biocompatible Materials; D001705:Bioprosthesis; D002404:Catheterization / Q000295:instrumentation; D002758:Cholangiography; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D003094:Collagen; D004322:Drainage / Q000295:instrumentation; D005500:Follow-Up Studies; D006500:Hepatic Duct, Common / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D015641:Radiography, Interventional; D012086:Reoperation; D013526:Surgical Mesh
chemical_list: D001672:Biocompatible Materials; D003094:Collagen