Washington Manual of Surgery Podcast

Surgical Diseases of the Biliary Tree: Part 2 - Washington Manual of Surgery

• WashU Medicine Department of Surgery

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Let’s talk biliary injury—Join general surgery resident Dr. Usman Panni for a discussion with expert transplant and biliary surgeon Dr. Adeel Khan. This episode of the Washington Manual of Surgery Podcast will focus on benign biliary diseases, including nuances of cholecystectomy and its complications, and serves as an additional companion to Chapter 18 of the 9th edition of the bestselling Washington Manual of Surgery. 

In this episode of the Washington Manual of Surgery Podcast, Dr. Adeel Khan provides insight into the assessment and treatment of bile duct injuries. Topics also include intra-operative cholangiography and common bile duct exploration. They discuss injury classification using the Strasberg classification system. 

Guest Host:  

Usman Panni, MD – General surgery resident at WashU Medicine. 

Guest:  

Adeel S. Khan, MD, MPH – Dr. Khan is a transplant surgeon and a hepatopancreatobiliary surgeon. He is a professor of surgery at WashU Medicine. Dr. Khan is an award-winning robotic surgeon, whose practice focuses on laparoscopic and robotic surgery of the liver, pancreas and bile ducts, with a special interest in liver tumors (primary and metastatic), pancreatic cancer, cancer of the gallbladder and bile duct, and benign hepatobiliary and pancreatic conditions. 

Show notes:

  • Strasberg Classification of Bile Duct Injuries (modified from Table 18.3) - injury classification and description
    • A: Leak from cystic duct stump or duct of Luschka
    • B: Occlusion of aberrant right hepatic duct
    • C: Transection without ligation of aberrant right hepatic duct
    • D: Lateral injury to major bile duct
    • E1: Common hepatic duct (CHD) division >2 cm from bifurcation
    • E2: CHD division <2 cm from bifurcation
    • E3: CHD division at the bifurcation with confluence preserved
    • E4: Hilar stricture, involvement of the confluence, & loss of communication between right and left HDs
    • E5: Involvement of aberrant right HD with or without CBD stricture

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The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

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For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media. 

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