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Management of Surgical Complications

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Multidisciplinary Management of Common Bile Duct Stones

Abstract

During the past three decades, major changes have occurred in the management of common bile duct (CBD) stones. For many years, open CBD exploration was the gold standard for managing choledocholithiasis. However, the advent of endoscopy and minimally invasive surgery, with considerably lower morbidity and mortality, has replaced open surgery as first-line treatment. Nevertheless, an understanding of the potential complications is essential for treatment planning and postoperative care. The most common complications of laparoscopic and open approaches to CBD exploration are retained and recurrent CBD stones, bile leak, bile duct injury, abscess/cholangitis, and pancreatitis. This chapter reviews these potential complications of and discusses the management of major intraoperative, postoperative, and delayed complications related to surgical treatment of CBD stones.

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Authors and Affiliations

  1. Department of Surgery, University Hospitals Case Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106, USA

    Helmi Khadra M.D., Terence Jackson M.D. & Jeffrey Marks M.D.

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  1. Helmi Khadra M.D.
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  2. Terence Jackson M.D.
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  3. Jeffrey Marks M.D.
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Correspondence to Terence Jackson M.D. .

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Editors and Affiliations

  1. The Ohio State University Wexner Medical Center, Chief, Division of General and Gastrointestinal Surgery,, Department of Surgery,, Columbus, Ohio, USA

    Jeffrey W. Hazey

  2. The Ohio State University Wexner Medical Center, Director, Division of Gastroenterology, Hepatology, and Nutrition, Professor of Medicine, Department of Internal Medicine,, Columbus, Ohio, USA

    Darwin L. Conwell

  3. The Ohio State University Wexner Medical Center, Division of Vascular and Interventional Radiology, Department of Radiology, Columbus, Ohio, USA

    Gregory E. Guy

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Khadra, H., Jackson, T., Marks, J. (2016). Management of Surgical Complications. In: Hazey, J., Conwell, D., Guy, G. (eds) Multidisciplinary Management of Common Bile Duct Stones. Springer, Cham. https://doi.org/10.1007/978-3-319-22765-8_14

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  • DOI: https://doi.org/10.1007/978-3-319-22765-8_14

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