BILE DUCT SURGERY

gallbladder home page/ gallstones/ bile duct strictures/ choledochal cyst
cancers:
(i) gallbladder (ii) bile duct (iii) ampullary cancer
The USC Center for Pancreatic and Biliary Diseases specializes in the surgical management of gallbladder and bile duct disorders. Surgery of the gallbladder and bile duct is complex and often associated with significant complications when these procedures are performed outside of tertiary care centers. Some of the conditions that we provides specialize expertise in are:

1. Gallbladder cancer: gallbladder class is an uncommon disorder in the United States. The majority of the patients seen United States have advanced disease and may require multidisciplinary care for the cancer. Early gallbladder cancer is often diagnosed in the gallbladder is taken out for laparoscopic cholecystectomy for suspected gallstones. Surgical treatment of gallbladder cancer usually requires removal of various amount of liver tissue depending on the extent of the tumor. This surgery is complex and experience of the institution and the surgeon is important for good outcomes.

2. Bile duct cancer: bile duct cancer is an uncommon cancer in the United States and only about 20,000 new cases are seen each year. The cancer may affect the upper part of the bile duct where it is usually associated with the liver or the lower part of the bile duct where it is usually associated with the pancreas. Patients with bile duct cancer therefore require either a liver removal or a Whipple operation depending on the location of the tumor. This surgery is complex and experience of the institution and the surgeon is important for good outcomes.

3. Choledochal cyst: choledochal cyst is uncommon condition that is usually seen in childhood but may occur in the adult. Patients usually present with pancreatitis or jaundice due to poor drainage of bile from the markedly enlarged and abnormal bile duct. Surgical treatment is used usually curative however this surgery is complex and delicate. Careful preservation of the pancreas duct is important to prevent injury to the pancreas. Surgery is also important to prevent future occurrence of cancer in the cyst.

4. Bile duct stricture: bile duct stricture is a devastating complication from laparoscopic cholecystectomy. While this complication is seen infrequently today, when it occurs correct management is important for good outcomes. The complexity of the surgery depends on the location of the injury. In patients in whom the stricture from the bile duct injury occur high in the bile duct, the surgery may be particularly difficult and often a good repair during the first surgical procedure is important for good long-term outcomes.

5. Ampullary cancer: cancer of the ampulla is an uncommon cancer in the United States, however, the recognition of this disorder is important since patients with ampullary cancer have the best long-term outcome from a Whipple operation performed for cancer. In selected patients with ampullary cancer, where the cancer is limited to the wall of the duodenum, we may consider a laparoscopic approach for the Whipple operation.



Contact information: USC Center for Pancreatic and Biliary Diseases
1510 San Pablo Street, Los Angeles, CA
Phone:
1-855-724-7874 dde-mail:
PancreasDiseases@surgery.usc.edu
Programs: pancreatic cancer, pancreatitis, laparoscopic surgery, endocrine surgery,
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biliary surgery

This web site provides select information about pancreatic and biliary disorders and is updated twice monthly. This information is not intended as a substitute for professional medical consultation with your physician.It is important that you consult with your physician for detailed information about your medical condition and treatment.The center will make every effort to update the site, however, past performance is no guarantee of future medical outcomes.
Copyright © 2002 USC Center for pancreatic and biliary diseases. All rights reserved.