Bile Duct Repair and Reconstruction Surgery
Bile duct repair and bile duct reconstruction surgery is a separate specialty. Dmitri Alden, MD, FACS, top rated NYC surgeon, successfully performs both surgeries. Extensive training, expert technical skills, and special equipment are needed to achieve success in operations on the bile duct, due to:
- The highly complex anatomy of the liver
- The presence of major blood vessels near the bile ducts, and
- The complex blood supply to the biliary tree (the path through which bile moves from the liver to the first part of the small intestine).
My husband was diagnosed with Liver Cancer which actually was from Colon Cancer. Dr. Alden performed an eleven hour surgery on him last year. He reconstructed his biliary ducts and removed a portion of his liver. We were so fortunate to find such an excellent surgeon. There are no words to describe just how great a doctor he is. We highly recommend him. ~ Vitals
Please note: Dr. Alden accepts insurance if he participates with your plan. Additionally, if Dr. Alden does not participate with your insurance plan, Dr. Alden’s office is frequently able to obtain pre-authorization from your insurance plan based on the uniqueness of his specialty. We will contact your insurance company to understand your benefits and additionally submit them for you. You will enjoy the luxury and benefit of academic medicine in a top rated concierge environment without the hassle of long hospital waiting room times and paperwork. Most policies reimburse patients for most of the cost of surgery. Our surgical coordinator will help you with a quote.
Patients and medical professionals from America and around the world seek out Dr. Alden’s specialized best in class individualized cancer treatments and services including his expert surgical management of the patient’s unique condition.
Patients referred to Dr. Alden have access to a vast array of specialists who are some of the best in their field in the country (and possibly in the world).
Bile duct reconstruction surgery becomes necessary if the biliary (bile duct) system is accidentally injured during laparoscopic cholecystectomy (which is the removal of the gallbladder through several small incisions in the stomach). Fortunately, bile duct injury is rare and occurs in only 0.1% of all cholecystectomies. However, close to 1 million gallbladders are removed in the United States each year, which translates into 10,000 injuries. This means 10,000 people in need of bile duct repair or reconstruction!
Dr. Dmitri Alden’s track record shows excellent outcomes, minimal complication rates, and, most importantly, a near-zero rate of late problems that can be frequent if the repair is not done properly.
In addition, biliary complications can occur during and after liver, gastric, duodenal, and pancreas surgery, and liver transplantation surgery.
Several types of injuries and complications can happen. The blood vessel supplying blood to the bile duct and nearby parts of the liver can be injured or compromised, which is a common complication. Biliary complications can occur early after surgery or much later, and these are managed differently. Some require an extensive surgical repair and some can be easily managed conservatively, without any need of surgery, by a skilled group of gastroenterologists and interventional radiologists to permanently fix the problem.
In addition to an office-based consultation, the NYC liver cancer & pancreatic cancer surgeon offers remote consultations to patients and medical professionals anywhere in the world. Please call our office for details.
What type of surgery is needed for bile duct repair or bile duct reconstruction? Depending on the type, timing, and level of the injury, the bile duct surgery could range from a simple repair to an extensive dissection of the entire bile duct and reconstruction by mounting a loop of the small intestine to the liver (Roux-en-Y loop) and making a connection to the multiple bile ducts individually inside the liver. In some cases removal of an entire lobe of the liver is necessary. Sometimes, multiple advanced techniques such as portal vein embolization might be needed.
We regularly perform these types of surgeries and so have gained vast experience in this field. In addition, we work with the best and most experienced gastroenterologists and interventional radiologists in the hepatobiliary field.
For more information pertaining to Bile Duct Repair and/or Bile Duct Reconstruction Surgery or for a consultation with the best in class liver surgeon, please feel free to contact the NYC Liver, Pancreatic & Bile Duct Oncological Surgeon, Dmitri Alden, MD, FACS, today by phoning his New York office (212) 434-6216 or contacting us online.