[Complete section of the main bile duct during laparoscopic cholecystectomy. Surgical treatment]. / Sezione completa della via biliare principale durante colecistectomia laparoscopica. Trattamento chirurgico.
Minerva Chir
; 55(5): 377-81, 2000 May.
Article
en It
| MEDLINE
| ID: mdl-10953577
ABSTRACT
Three cases of biliary tract serious lesions during videolaparoscopic cholecystectomy are reported. They were executed in other hospitals and presented big technical restoring difficulties, not easily resolvable. In 2 cases of lithiasic cholecystitis there was a complete damage of common biliary duct, in the third one there was a double main biliary duct binding with removal of a biliary tract segment. In all cases a biliary confluence-jejunal anastomosis with Roux en y loop was made up. In all cases the operation was difficult because of main bile duct fragility and modest expansion. In the third one the presence of a secondary biliary duct in gallbladder fossa not recognized but drained outside with a common drainage placed during the operation has prevented appearance of jaundice with dilatation of biliary ducts. It has heavily conditioned confluence-jejunal anastomosis with Roux en Y loop. In all cases tubes were left in the biliary duct for few months in order to calibrate it. In 2 patients postoperative course was characterized by the appearance of an external biliary fistula which has spontaneously disappeared. One year later both patients don't present any stenosis or cholangitis problem.
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Banco de datos:
MEDLINE
Asunto principal:
Colecistectomía Laparoscópica
/
Conducto Colédoco
/
Conducto Hepático Común
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
It
Año:
2000
Tipo del documento:
Article