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Salvage treatment of laparoscopic cholecystectomy‐associated bile duct stenosis combining laparoscopic and endoscopic procedures: A case report
Author(s) -
Iimuro Yuji,
Okada Toshihiro,
Ohashi Koichiro,
Uda Yugo,
Suzumura Kazuhiro,
Fujimoto Jiro
Publication year - 2013
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12053
Subject(s) - medicine , laparoscopic cholecystectomy , surgery , bile duct , cholecystectomy , stenosis , general surgery , laparoscopy , radiology
The incidence of laparoscopic cholecystectomy ( LC )‐associated bile duct injury has reached a steady state despite learning curve effect. Herein we report the case of a 74‐year‐old Japanese man who suffered from bile duct stenosis and stones after LC . The stenosis was due to stricture caused by surgical clips used inappropriately during LC . We planned a salvage treatment combining laparoscopic and endoscopic approaches. At laparoscopic observation, the clips had already invaded the right side of the bile duct; minimal absorbable suture was performed after all the clips were removed. The bile duct stenosis was then endoscopically dilated and the biliary stones were successfully removed. For the recurrent biliary stenosis after discharge, endoscopic balloon dilation was performed and multiple plastic stent tubes were placed. The stent tubes were removed 4 months later, and the patient has had no symptoms for 1 year. A combined laparoscopic and endoscopic approach was useful for the salvage treatment of LC ‐associated bile duct stenosis.