The Role of the Extraperitoneal Drainage in the Corrective Surgery of the Intraoperative- Discovered Accidental Lesions of the Common Bile Duct.

Introduction: The field of reconstructive surgery of the accidental main bile duct lesions involves several major categories, which, in turn, enroll some distinct phases due to their evolutionary characteristics. Each of these stages enforce different therapeutic options that are in close connection with the morphological and pathologic appearance of ductal lesions, which differ substantially depending mainly upon the timing of the diagnosis. Material and method: We bring into attention a collection of 4 cases with immediately recognized intraoperative lesions of the main biliary pathways that occurred during laparoscopic procedures for biliary lithiasis, since 2001. Although all cases fall into the same category of lesions, the circumstances being different so did the solutions adopted, tailored to the reality of the intraoperative findings, however the common ground was represented by the extraperitoneal drainage. Conclusions: Our short suite of clinical case presentation manages to draw attention to some interesting conclusions, such as it is somehow hazardous and not practical to compare clinical results obtained with various surgical techniques, since those are often in close connection with the details and particularities of the case; no single-center clinical experience, even if it is backed up by a large number of cases, can be imposed as a golden standard in resolving these injuries. [ABSTRACT FROM AUTHOR]