M. Pietsch et al., Long-term follow-up after bile duct injury from laparoscopic cholecystectomy and reconstruction by a jejunal conduit interposition, CHIRURG, 71(12), 2000, pp. 1500-1503
The follow-up of patients with severe bile duct lesions after laparoscopic
cholecystectomy often shows secondary complications. We report on a female
patient suffering from long-lasting complications after bile duct injury an
d early reconstruction by end-to-end anastomosis via a T-tube drainage. Mor
e than 5 years later and after multiple dilatation and stenting of the bile
duct stenosis the patient was treated with an expanding metal stent. The s
evere cholangitis persisted. So the patient was operated on: bile duct and
connected stent were resected. The reconstruction was performed with an iso
peristaltic jejunal conduit. More than 24 months later the patient is healt
hy and at work again.