Intraoperative Endoscopic Retrograde Cholangiopancreatography in patients with complex benign biliary tract pathologies A case series
Omer Faruk Ozkan 1, Erdem Akbal 2, Ceren Canbey Goret 3, Nuri Emrah Goret 4, Aydin Ozturk 5, Oztekin Cıkman 6, Erdem Koçak 2
1 Department of General Surgery, Health Sciences University, Umraniye Research and Education Hospital, Istanbul, Turkey
2 Department of Gastroenterology, Istanbul Bilim University, Faculty of Medicine, stanbul, Turkey
3 Department of Surgical Pathology, Health Sciences University, Sancaktepe Research and Education Hospital, Istanbul, Turkey
4 Department of General Surgery, Health Sciences University, Kartal Dr Lutfi Kırdar Research and Education Hospital, Istanbul, Turkey
5 Department General Surgery, Onsekiz Mart University Research and Application Hospital, Canakkale, Turkey
6 Department of General Surgery, Van Yuzunciyil University Research and Application Hospital, Van, Turkey
Ann. Ital. Chir. 2018, 89(5), 413–418
Published: 1 Sep 2018
Abstract
INTRODUCTION: This study presents data about the intraoperative performance of Endoscopic Retrograde Cholangiopancreatography (ERCP) for different types of cases with acute, complex pathologies of the biliary tract. MATERIALS AND METHODS: We retrospectively enrolled cases with intraoperative ERCP performed for different acute com- plex bile duct pathologies (including injury and cystic stump leak). All patients were analyzed according to demograph- ic findings, etiologies, management and results. RESULTS: Intraoperative ERCP was performed in 4 patients of whom 2 (50%) were female and 2 (50%) were male with different diagnoses. The median age of patients was 46.8 (range of 28-75) years. The diagnosis was bile duct injury in three patients and one had a complicated hydatid cyst with jaundice (T Bil: 18 mg dl-1). All patients were in septic condition. Patients underwent laparotomy and intraoperative ERCP was performed successfully by using the Rendezvous technique. For the last patient, intraoperative ERCP was used for diagnosis and management of bile leak in the cavity. CONCLUSION: Intraoperative endoscopic retrograde cholangiopancreatography is a safe and effective method for treatment of acute complex bile duct pathologies.
