Case Reports Endoscopic stent placement and clip removal for common bile duct stricture after laparoscopic cholecystectomy Joseph Weber, MD H. E. Adamek, MD J. F. Riemann, MD

Laparoscopic cholecystectomy has developed within a short time to become an outstanding feature of surgery. The complication rate of this new surgical therapy cannot definitely be evaluated at present, but initial results indicate that the rate of bile duct injuries may be higher than in traditional cholecystectomy. One reason for this could be the lack of practical experience with diagnostic laparoscopy by surgeons. Therapeutic endoscopy or interventional radiology will play a supportive role in the future of this new surgical technology, which is demonstrated by the following case.

Figure 1. A, ERCP shows a narrow stricture of the common bile duct close to a cystic duct clip. B, Two endoprostheses in place.

CASE REPORT

A 28-year-old woman with a history of biliary pancreatitis underwent an uneventful laparoscopic cholecystectomy for cholelithiasis. Pre-operative ERCP was normal. On the third post-operative day she developed jaundice. Bilirubin was 5.9 mgjdl (normal,

Endoscopic stent placement and clip removal for common bile duct stricture after laparoscopic cholecystectomy.

Case Reports Endoscopic stent placement and clip removal for common bile duct stricture after laparoscopic cholecystectomy Joseph Weber, MD H. E. Adam...
2MB Sizes 0 Downloads 0 Views