Bridging Complete CHD Transection Post-Cholecystectomy via Cholangioscopy скачать в хорошем качестве

Bridging Complete CHD Transection Post-Cholecystectomy via Cholangioscopy

In this video, we demonstrate a successful endoscopic approach to managing a complete 1 cm transection of the common hepatic duct (CHD) following laparoscopic cholecystectomy, presenting with a significant bile leak. Utilizing cholangioscopy, we precisely identified the proximal ductal stump, cannulated it using a guidewire, and placed biliary stents to bridge the transected segment. This case highlights the role of advanced endoscopic techniques in managing complex biliary injuries, avoiding the need for immediate surgical reconstruction. Key steps demonstrated: Identification of the transected CHD via cholangioscopy Localization of the proximal bile duct Guidewire cannulation through the proximal segment Bridging the transection with plastic stents Procedure Type: Endoscopic bile duct stenting via cholangioscopy Clinical Scenario: Post-cholecystectomy bile leak with complete CHD transection 🔔 Subscribe for more videos on advanced endoscopy, ERCP, and cholangioscopy techniques. #Cholangioscopy #BileLeak #CHDTransection #ERCP #Endoscopy #HepatobiliarySurgery #BiliaryInjury #GIEndoscopy