Description

In cases of major bile duct injury or complete transection, Roux-en-Y Hepaticojejunostomy or Choledochojejunostomy is the gold standard reconstructive technique. WLH performs this operation laparoscopically, allowing patients to benefit from the advantages of minimal access surgery while still achieving excellent surgical outcomes. Key Objectives of the Procedure Establish a tension-free, mucosa-to-mucosa anastomosis Restore normal continuity and drainage of bile Prevent future stricture or recurrent cholangitis Ensure long-term biliary patency Why World Laparoscopy Hospital is a Global Leader World Laparoscopy Hospital is recognized internationally for its excellence in advanced laparoscopic reconstructive procedures. Under the leadership of Prof. Dr. R. K. Mishra, WLH has pioneered minimally invasive solutions for complex hepatobiliary injuries. 1. Expert Surgeons with Global Experience WLH surgeons are world-renowned for their precision in performing intricate laparoscopic suturing and biliary reconstruction—skills that are essential for successful bilioenteric bypass. 2. State-of-the-Art 4K, 3D, and Robotic Surgical Systems The hospital is equipped with the latest imaging and surgical technology, enhancing visualization and accuracy during delicate biliary anastomosis. 3. Standardized Protocols for Biliary Injury Management WLH follows evidence-based protocols that include: Early diagnosis through MRCP, ERCP, and high-definition imaging Classification of injury based on Strasberg and Stewart-Way systems Tailored surgical planning for each patient 4. Minimally Invasive Mastery The laparoscopic approach at WLH ensures: Reduced postoperative pain Lower incidence of wound complications Faster recovery and shorter hospital stays Cosmetic benefits 5. International Training & Research Center WLH is not only a treatment center but also a major training institute where surgeons worldwide learn advanced bile duct reconstruction techniques. Step-by-Step Overview of the Laparoscopic Bilioenteric Bypass Precise identification of the biliary injury site using laparoscopic magnification Isolation and preparation of the proximal hepatic duct Creation of a Roux-en-Y jejunal limb Tension-free positioning of the jejunal loop near the hepatic hilum Meticulous suturing to form a wide, durable hepaticojejunostomy Leak test and confirmation of adequate bile drainage Placement of drains and completion of the procedure The meticulous surgical steps performed at WLH focus on preventing future strictures and ensuring long-term success. Patient Outcomes and Success Rates WLH has one of the highest success rates globally for minimally invasive biliary reconstruction. Patients experience: Excellent long-term patency of the anastomosis Very low complication and stricture rates Rapid return to normal life activities Prevented long-term liver damage Conclusion Laparoscopic Bilioenteric Bypass represents a remarkable advancement in the management of complex biliary tract injuries. At World Laparoscopy Hospital, this procedure is performed with world-class skill, cutting-edge technology, and a commitment to patient safety and surgical excellence. Whether as a corrective surgery after iatrogenic injury or as a planned reconstruction, WLH continues to set global standards in minimally invasive hepatobiliary surgery.