biliary injury

F. Elli Background/Hypothesis Common bile duct (CBD) injuries represent the most important complication of laparoscopic cholecystectomy. A robotic repair of iatrogenic CBD injury is showed in this video. Materials & Methods A 20 year old patient underwent a laparoscopic cholecystectomy for symptomatic gallstones and discharged home the same day. She returned to the hospital 48 hours after surgery complaining of abdominal pain. A CT scan performed showed a large abdominal fluid collection compatible with a biloma. An ERCP showed an interruption of the bile duct with contrast extravasation.