Biliary duct injuries in the laparoscopic era: our experience.
G Chir
; 34(3): 59-63, 2013 Mar.
Article
in En
| MEDLINE
| ID: mdl-23578407
ABSTRACT
AIM:
The main aim of our study is to evaluate the incidence, the type, the causes and the therapy of biliary duct injuries which occurred after the video laparoscopic cholecystectomies performed in our Department during the period from 1990 to 2012. PATIENTS ANDMETHODS:
A retrospective analysis of 1186 VLC has been made in our Department from March 1990 to June 2012. Before the cholecystectomy all patient were evaluated with trans abdominal echography. Beyond the incidence of BDI was evaluated damaging mechanism, etiology, therapy and time of diagnosis.RESULTS:
From 1990 to 2012 a total of 9 BDIs occurred, with an incidence of 0,75%. Out of 9 patients 4 had major lesions and 5 had minor lesions; the most common BDI was Strasberg A (45%), the most common etiology was the presence of anatomical variations. In four cases the diagnosis has been intraoperative, in five cases has been postoperative.CONCLUSIONS:
Our clinical experience shows that the main cause of BDI are the surgeon experience and the bile ducts anatomical variation.
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Database:
MEDLINE
Main subject:
Bile Ducts
/
Cholecystectomy, Laparoscopic
/
Intraoperative Complications
Type of study:
Observational_studies
/
Risk_factors_studies
Limits:
Humans
Language:
En
Journal:
G Chir
Year:
2013
Type:
Article
Affiliation country:
Italy