Recontructive Biliary Surgery in the Treatment of Iatrogenic Bile Duct Injuries

IBDI remain an important problem in gastrointestinal surgery. The most frequently, they are caused by laparoscopic cholecystectomy which is one of the commonest surgical procedure in the world. The early and proper diagnostics of IBDI is very important for surgeons and gastroenterologists, because unrecognized IBDI lead to serious complications such as biliary cirrhosis, hepatic failure and death. Choice of the proper treatment of IBDI is very important, because it may avoid these serious complications and improve quality of life in patients. Non-invasive, percutaneous radiological and endoscopic techniques are recommended as initial treatment of IBDI. When endoscopic treatment is not effective, surgical management is considered. The goal of surgical treatment is to reconstruct the proper bile flow to the alimentary tract. In order to achieve this goal, many techniques are used. There are contradictory reports on the effectiveness of bile duct reconstruction methods in the literature.