Fundamentals of Bile Duct Injuries

This essential resource, Fundamentals of Bile Duct Injuries, provides comprehensive insights on prevention and management of bile duct injuries for surgeons.

Bile duct injuries (BDI) represent one of the most severe surgical complications that can arise from cholecystectomy. Reports indicate that the incidence of BDI has remained relatively stable over the years, typically ranging from 0.1% to 0.9%. This complication is particularly concerning due to its association with increased perioperative morbidity and mortality, a decline in quality of life, and reduced long-term survival rates. Surgeons face significant challenges with BDI, as its progression is often unpredictable, leading to potential malpractice claims and emotional distress for those involved, often referred to as the 'second victim' phenomenon.

Many patients experience BDI without any initial signs, which can complicate postoperative recovery and diminish the chances of successful repair. Managing these injuries may require a variety of surgical, endoscopic, and percutaneous techniques, as patients frequently undergo multiple repair attempts before achieving a satisfactory outcome. This prolonged and complex treatment process has a profound psychological, physical, and emotional impact on patients, especially when they arrive at specialized centers with complications stemming from prior inadequate treatments.

Fundamentals of Bile Duct Injuries serves as a vital resource for surgeons involved in cholecystectomy and the management of BDI patients. The book emphasizes the importance of prevention, early diagnosis, and effective treatment from the outset to ensure favorable long-term outcomes. It offers practical insights and an extensive review of best practices, including complex cases, with contributions from a multidisciplinary team of experienced authors dedicated to enhancing the care of BDI patients.