0 views 0 likes

Jeffrey Ponsky

Endoscopic Surgery · View profile →

Intra-operative Bile Leak During Cholecystectomy

Video Published 2026-07-29 Updated 2026-07-29

Topic Overview

Dr. Jeffrey Ponsky discusses recognition and management strategies for bile leaks encountered during cholecystectomy procedures. This SAGES 2022 presentation provides practical guidance for surgeons on handling this common hepatobiliary complication intraoperatively.

Key Takeaways

  • Immediate recognition of bile leak during cholecystectomy allows for intraoperative repair rather than delayed intervention
  • Clip application or suture repair of small ductal injuries can prevent postoperative bile collections and ERCP procedures
  • Intraoperative cholangiography helps identify the anatomy and extent of bile duct injury before completing the case
  • Converting to open surgery may be necessary for complex bile duct injuries requiring hepaticojejunostomy reconstruction

Keywords

Cholecystectomy Bile Leak Intraoperative Complications Hepatobiliary Surgery Laparoscopic Surgery Complication Management

Hashtags

#HPBSurgery #Cholecystectomy #BileLeak #SurgicalComplications

Comments

Loading comments…