Transhepatic Metallic Stenting for Hepaticojejunostomy Stricture Following Laparoscopic Cholecystectomy Biliary Injury: A Case of Successful 20 Years Follow-Up

Laparoscopic cholecystectomy is still associated with a considerable rate of biliary injuries and related strictures. Advances in interventional endoscopy and percutaneous techniques have made stenting a preferred treatment modality for the management of these strictures. We report successful 20 years of follow-up of a case of trans-hepatic metallic stenting (2 Gianturco(®) prostheses, 5 cm long, 2 cm in diameter) done for stenosed hepatico-jejunostomy anastomosis after laparoscopic CBD injury. Percutaneous transhepatic stenting and long-term placement of metallic stents need to be re-evaluated as a minimally invasive definitive treatment option for benign biliary strictures in patients with altered anatomy such as hepatico-jejunostomy or in whom re-operation involves high risk. Keywords: Biliary SEMS; hepatico-jejunostomy stricture; iatrogenic bile duct injuries; metallic biliary stents; percutaneous transhepatic biliary stenting; postoperative biliary strictures.