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Annular stenosis of the main bile duct after laparoscopic cholecystectomy

Vayre, P.; Fasano, J.J.; Jost, J.L.; Dumont, J.L.; Girodet, J.

Chirurgie; Memoires de l'Academie de Chirurgie 119(1-2) 85-90; Discussion: 90-91

1993

ISSN/ISBN: 0001-4001
PMID: 7995110
Document Number: 411577
Although celioscopic cholecystectomy provides acknowledged advantages, lesions of the common bile duct appear to be more frequent with this technique than with laparotomy. Two cases of annular stenosis of the common bile duct after celioscopic cholecystectomy are presented. Evidence of their ischemic origin is available, and they lead to reflexions on the use of monopolar coagulation. In both cases, the stenosis was repaired surgically, with resection and anastomosis in one case and with a hepaticojejunal anastomosis in the other. Laying an endoprosthesis as used in case 2 seems to be interesting as a temporary solution to prepare for surgery.

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