Expert tertiary surgical management for complex gallstones, choledochal cysts, and post-cholecystectomy bile duct injury repair.
Biliary tract disorders range from common gallstones and choledochal cysts to rare iatrogenic bile duct injuries. Biliary reconstruction requires exceptional surgical precision to avoid recurrent cholangitis and secondary biliary cirrhosis.
While routine gallstones are removed laparoscopically, complex presentations such as acute gangrenous cholecystitis, Mirizzi syndrome (gallstone eroding into the bile duct), and cholecystoenteric fistulas demand advanced surgical expertise. Dr. Gabani provides safe subtotal or total cholecystectomy with bile duct clearance.
An accidental injury to the common bile duct during gallbladder surgery is a distressing complication requiring urgent tertiary referral. Signs include progressive jaundice, bile drainage from wounds, or abdominal sepsis.
Roux-en-Y Hepaticojejunostomy: Dr. Gabani performs definitive reconstruction by joining the healthy, vascularized hepatic ducts to a Roux-en-Y limb of small intestine. Strict avoidance of tension and ischemia ensures lifetime patency without stricture recurrence.
Congenital dilatations of the bile duct (choledochal cysts) carry a high lifetime risk of malignancy if untreated. Complete surgical excision of the cyst with Roux-en-Y hepaticojejunostomy is the established curative approach.