Managing bile duct injury during and after laparoscopic cholecystectomy View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1998-12

AUTHORS

Hiroyuki Inui, A-Hon Kwon, Yasuo Kamiyama

ABSTRACT

: Laparoscopic cholecystectomy is now the treatment of choice for gallstones, but there has been concern that bile leakage after a laparoscopic cholecystectomy is more frequent than after an open cholecystectomy. We have experienced 16 patients with bile duct injury after a laparoscopic cholecystectomy. Five patients had a circumferential injurury to the major bile duct, and we employed a converted open technique for biliary reconstruction. The other 11 patients had partial injurury to the major bile duct, and we performed laparoscopic restoration; all 11 of these patients received endoscopic retrograde cholangiography (ERC) on the day after the operation and stenting for biliary decompression and drainage. No complications were identified and the duration of hospitalization in these patients was significantly shorter than in those who had the converted procedure. If intraoperative cholangiography is performed routinely, the presence and form of bile duct injury can be clearly identified, and the decision to restore the site of injury or to convert to the open technique for biliary reconstruction can be made immediately. More... »

PAGES

445-449

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s005340050070

DOI

http://dx.doi.org/10.1007/s005340050070

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1031854608

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/9931395


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