Top Abstract Purchase Related
Home
>
Node
>
Subnode

Treatment of bile ducts injuries after laparoscopic cholecystectomy

Artem'eva, N.N.; Kokhanenko, N.I.

Khirurgiia 12: 18-25

2007

ISSN/ISBN: 0023-1207
PMID: 18163109
Document Number: 613884
Features of bile ducts injuries after laparoscopic cholecystectomy were analyzed at 54 patients. High level of lesions (H. Bismuth III-IV type) was revealed at 80% cases. Along with mechanical (transsection, excision, clipping) thermal injury of the bile ducts is usual at laparoscopic cholecystectomy. The injury was diagnosed during the operation at 21 (37.7%) cases, in 2-30 days after operation--at 30 (56.6%), and in 3 months--2 years--at 3 (5.7%) patients. Surgical tactics depended on level and terms of injury, state of bile duct wall and complications. Biliodigestive anastomosis with Roux techniques and transhepatic drainages was the main surgical method (76% cases). Peritonitis and other severe complications required two-stage treatment. Overall 40 (74.1%) patients followed-up more 3 years; there were no cases of stricture recurrence.

Document emailed within 1 workday
Secure & encrypted payments

Pafko, P.; Stolz, A.; Lischke, R. 2001: Excision of extrahepatic bile ducts in laparoscopic cholecystectomy Rozhledy V Chirurgii: Mesicnik Ceskoslovenske Chirurgicke Spolecnosti 80(6): 297-298
Kukosh, M.V.; Mamaev, I.P. 1980: Injuries to the extrahepatic bile ducts during cholecystectomy Vestnik Khirurgii Imeni I. I. Grekova 125(11): 130-132
Borovyĭ, E.M.; Shpizel', R.S. 1987: Injuries of major bile ducts during cholecystectomy Vestnik Khirurgii Imeni I. I. Grekova 139(8): 115-117
Velnić, D.; Perko, Z.; Cala, Z. 2001: Bile duct injuries in laparoscopic cholecystectomy Lijecnicki Vjesnik 123(1-2): 9-13
Tsalis, K.; Zacharakis, E.; Vasiliadis, K.; Kalfadis, S.; Vergos, O.; Christoforidis, E.; Betsis, D. 2005: Bile duct injuries during laparoscopic cholecystectomy: management and outcome American Surgeon 71(12): 1060-1065
Lichtenstein, S.; Moorman, D.W.; Malatesta, J.Q.; Martin, M.F. 2000: The role of hepatic resection in the management of bile duct injuries following laparoscopic cholecystectomy American Surgeon 66(4): 372-6; discussion 377
Holzinger, J.; Mayer, F.; Heinerman, P.M.; Sungler, P.; Waclawiczek, H.W.; Boeckl, O. 1997: Treatment of postoperative bile fistulas after laparoscopic cholecystectomy by ERCP, EPT and bile duct drainage Zentralblatt für Chirurgie 122(12): 1088-1091
Muladze, R.B.; Tumanidi, A.M. 1978: Injuries to the bile ducts and their surgical treatment Vestnik Khirurgii Imeni I. I. Grekova 121(9): 123-126
Huang, K.L.; Chow, W.K.; Peng, Y.C. 2001: Endoscopic stenting in the treatment of bile leakage after laparoscopic cholecystectomy Zhonghua Yi Xue Za Zhi 64(4): 209-214
Tsoĭ, G.V.; Te, L.B.; Maĭer, V.I.; Gaĭkovoĭ, V.S. 1986: Damage to the extrahepatic bile ducts during cholecystectomy Klinicheskaia Khirurgiia 9: 60-61
Arregui, M.E.; Navarrete, J.L.; Davis, C.J.; Hammond, J.C.; Barteau, J. 1994: The evolving role of ERCP and laparoscopic common bile duct exploration in the era of laparoscopic cholecystectomy International Surgery 79(3): 188-194
Onghena, T.; De Waele, J.J.; Vereecken, L.; Van Loon, C. 2001: Limy bile and laparoscopic cholecystectomy Acta Chirurgica Belgica 101(1): 31-34
Drews, R. 1975: Reparative surgery of bile ducts following their injuries Polski Przeglad Chirurgiczny 47(9): 1077-1080
Sizov, O.G.; Sekundo, A.Z. 1972: Injuries to the bile ducts in the course of resection of the stomach Khirurgiia 48(2): 23-26
Hess, W.; Zürich 1974: Accidental and iatrogenic injuries of the bile ducts Helvetica Chirurgica Acta 41(5-6): 639-652
Smirnov, E.V. 1972: Correction of accidental injuries to the bile ducts during surgery Vestnik Khirurgii Imeni I. I. Grekova 108(6): 127-131
Sandoval, B.A.; Goettler, C.E.; Robinson, A.V.; O'Donnell, J.K.; Adler, L.P.; Stellato, T.A. 1997: Cholescintigraphy in the diagnosis of bile leak after laparoscopic cholecystectomy American Surgeon 63(7): 611-616
Pardela, M.; Gliński, M.; Wojakowski, I.; Woś, S.; Macyszyn, R. 1975: Reconstructive surgery in intraoperative injuries of extrahepatic bile ducts Wiadomosci Lekarskie 28(9): 723-726
Wudel, L.J.; Wright, J.K.; Pinson, C.W.; Herline, A.; Debelak, J.; Seidel, S.; Revis, K.; Chapman, W.C. 2001: Bile duct injury following laparoscopic cholecystectomy: a cause for continued concern American Surgeon 67(6): 557-563; Discussion: 563-564
Vayre, P.; Fasano, J.J.; Jost, J.L.; Dumont, J.L.; Girodet, J. 1993: Annular stenosis of the main bile duct after laparoscopic cholecystectomy Chirurgie; Memoires de l'Academie de Chirurgie 119(1-2): 85-90; Discussion: 90-91