Iatrogenic bile duct injuries after surgery remain a substantial problem in gastrointestinal surgery. A variety of injuries can occur.

Obstructive jaundice and bile leaks are indications for percutaneous biliary interventions. Uncomplicated obstructive jaundice is not an emergency, while septic cholangitis needs urgent intervention.

Since the first report of the opacification of the biliary system by percutaneous direct puncture of the gallbladder in 1921, biliary interventions have evolved a great deal becoming readily available in most hospital settings.

Multiple classification schemes exist for bile duct injuries (BDI). While the classification by Bismuth and Lazorthes is customary for open surgery, it has been extended by various authors for laparoscopic surgery (such as the Strasberg and Stewart-Way classifications).

Management of bile duct injuries requires hepatobiliary expertise and transdisciplinary collaboration. Minimally invasive approaches such as endoscopic and percutaneous treatment options have traditionally served as a bridge to surgical repair.

There is an increasing number of percutaneous cholecystostomies carried out in the last years in patients unfit for surgery. The access can be subcostal or intercostal, transhepatic or transperitoneal. Generally, a direct approach using ultrasound is preferred to CT- or fluoroscopy guidance.

Although nonsurgical methods produce high clinical success rates in the treatment of benign biliary stricture, conventional methods are not always successful in cases of severe biliary stricture or complete obstruction. 

The incidence of open and laparoscopic common bile duct exploration for choledocholithiasis has remarkably declined during the last 2 decades. Endoscopic and percutaneous treatment options provide a minimally invasive solution to even complex biliary lithiasis cases.

Biliary leaks and strictures are the most frequent complications after HPB surgery. When suspecting a bile leak after liver resection ERCP allows to both confirm and localize the leak and to treat it by sphincterotomy and stent placement.

The utilization of mi

Laparoscopic cholecystectomy for acute cholecystitis is one of the most frequently performed surgical procedures. It is a universally accepted surgical technique but currently entails the risk of injury to the bile ducts.

Malignant biliary obstruction most commonly arises from cholangiocarcinoma and pancreatic cancer or as a metastasis from other cancer types. Most of the patients, at the time of diagnosis, are at an advanced stage of the disease that precludes surgical resection.

Replay of the Day 1 - November 23, 2020 

Management of Bile Duct Stones : Multi-Perspective Approach

e-bootcamp on Image-Guided Diagnostic & Therapeutic Approaches for Biliary Diseases

Replay of the Day 2 - November 24, 2020 

Therapeutic and Palliative Management of Malignant Obstructions

e-bootcamp on Image-Guided Diagnostic & Therapeutic Approaches for Biliary Diseases

Replay of Day 3 - November 25, 2020

Bile Duct Injury, 'Management from the Stab to the Scope'

e-bootcamp on Image-Guided Diagnostic & Therapeutic Approaches for Biliary Diseases

Replay of Day 4 - November 26, 2020

e-Workshop

e-bootcamp on Image-Guided Diagnostic & Therapeutic Approaches for Biliary Diseases

Replay of Day 5 - November 27, 2020

Let's have a coffee !

e-bootcamp on Image-Guided Diagnostic & Therapeutic Approaches for Biliary Diseases