title: Transhepatic metallic stenting for hepaticojejunostomy stricture following laparoscopic cholecystectomy biliary injury: A case of successful 20 years follow-up.
abstract: Laparoscopic cholecystectomy is still associated with a considerable rate of biliary injuries and related strictures. Advances in interventional endoscopy and percutaneous techniques have made stenting a preferred treatment modality for the management of these strictures. We report successful 20 years of follow-up of a case of trans-hepatic metallic stenting (2 Gianturco(®) prostheses, 5 cm long, 2 cm in diameter) done for stenosed hepatico-jejunostomy anastomosis after laparoscopic CBD injury. Percutaneous transhepatic stenting and long-term placement of metallic stents need to be re-evaluated as a minimally invasive definitive treatment option for benign biliary strictures in patients with altered anatomy such as hepatico-jejunostomy or in whom re-operation involves high risk.
authors: Department of Gastrointestinal and Endocrinal Surgery, IRCAD/EITS, University of Strasbourg, Strasbourg, France.
authors: Gianfranco
authors: G
authors: Donatelli
authors: Didier
authors: D
authors: Mutter
authors: Parag
authors: P
authors: Dhumane
authors: Cosimo
authors: C
authors: Callari
authors: Jacques
authors: J
authors: Marescaux