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Fundamentals of Bile Duct Injuries - From Prevention to Multidisciplinary Management (Hardcover, 1st ed. 2022)
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Fundamentals of Bile Duct Injuries - From Prevention to Multidisciplinary Management (Hardcover, 1st ed. 2022)
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Bile duct injuries (BDI) are considered the most serious surgical
complication associated with cholecystectomy. According to
different reports, its incidence has remained constant over the
years, ranging from 0.1% to 0.9%. BDI is associated with a greater
risk of perioperative morbidity and mortality, a reduction in the
quality of life, and a decrease in long-term survival. Also, this
complication is a concern to surgeons since its progression is
uncertain and may lead to demands on professional responsibility
("malpractice") and emotional and physical consequences ("second
victim"). Given that injuries in a high percentage of patients are
initially unsuspected, the postoperative recovery may be prolonged,
and the possibility of a successful repair reduced. Several
surgical, endoscopic, and percutaneous procedures may be necessary
to manage the lesions and to treat coexisting complications. BDI
patients often undergo several repair attempts before successful
resolution. This affects their quality of life and has a high
psychological, physical, and mental impact due to the prolonged,
complex, and unexpected nature of the injury. This currently
represents a frequent problem in specialized referral centers or
hepatobilopancreatic surgery units, where patients arrive with the
sequelae of previous inadequate treatments. Usually, these patients
require more elaborate procedures such as reoperations, liver
resections and liver transplantation. The prevention, early
diagnosis, and adequate treatment in the first approach is of
crucial importance to ensure good long-term results. Therefore,
this book is an essential resource for surgeons who perform
cholecystectomy or treat BDI patients. It provides practical
information and a comprehensive review on prevention and proper
management, including complex cases. Readers will find
contributions by experienced authors from a multidisciplinary and
reference team in the management of BDI patients.
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