[Injuries of the extrahepatic bile ducts in laparoscopic cholecystectomy]. / Leziunile calor biliare extra-hepatice în colecistectomia laparoscopica.
Chirurgia (Bucur)
; 101(4): 385-90, 2006.
Article
em Ro
| MEDLINE
| ID: mdl-17059149
ABSTRACT
Laparoscopic cholecystectomy has become the "gold standard" for cholelithiasis. In laparoscopic technique, the incidence and the severity of injuries of the extrahepatic bile ducts are significantly higher (0-2,7%) than in open surgery (0,2-0,5%). The authors present a series of 18 patients with such lesions, operated between 1996 and 2005 in the surgical departments of 2 Clinical Hospitals "Dr.I.Cantacuzino" and Coltea, from Bucharest. The injuries were 2--of type A, 10--of type D and 6--of type E, according to Soper-Strasberg classification. There are analysed the causes and the circumstances in which these injuries have occurred, the clinical signs and imagistic findings and, most of all, their treatment. In complete transections of the common bile duct, a hepatico-jejuno-anastomosis using a Roux en Y-loop appears to be the best solution. It is emphasized the fact that an accurate diagnosis and surgical technique are essential for a favourable evolution. That's why these operations must be accomplished by experimented surgeons, from highly specialized departments.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Colecistectomia Laparoscópica
/
Ductos Biliares Extra-Hepáticos
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
Ro
Revista:
Chirurgia (Bucur)
Ano de publicação:
2006
Tipo de documento:
Article