COMMON BILE-DUCT INJURY DURING LAPAROSCOPIC CHOLECYSTECTOMY

被引:0
|
作者
KUROSE, M [1 ]
HAMAZAKI, K [1 ]
MATSUOKA, J [1 ]
TAKAI, K [1 ]
KANESHIGE, T [1 ]
MOREIRA, LF [1 ]
MIMURA, H [1 ]
ORITA, K [1 ]
机构
[1] OKAYAMA UNIV, SCH MED, DEPT SURG 1, OKAYAMA 700, JAPAN
关键词
BILE DUCT INJURY; LAPAROSCOPIC CHOLECYSTECTOMY;
D O I
暂无
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Bile duct injury can occur more frequently during laparoscopic cholecystectomy than in open cholecystectomy. Three eases of common bile or hepatic duct injuries occurred in a series of eighty laparoscopic cholecystectomies; In case 1, the common bile duct was misidentified as the cystic duct. In case 2, bile peritonitis occurred on the fourth postoperative day caused by necrosis of the common hepatic duct involving the cautery surrounding it. In case 3, a bile leak occurred due to an incision at the confluence of the cystic and common duct. Dissection of the cystic duct at the infundibulm of the gallbladder, blunt dissection of the Calot's triangle, the handling of clips with special attention for safety were thought to be necessary in order to lower the risk of bile duct injury. Preoperative endoscopic retrograde cholangiography (ERCP) is recommended to avoid bile duct injury.
引用
收藏
页码:351 / 353
页数:3
相关论文
共 50 条
  • [31] Common bile duct injuries during laparoscopic cholecystectomy that result in litigation
    Carroll, BJ
    Birth, M
    Phillips, EH
    SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1998, 12 (04): : 310 - 313
  • [32] Is the systematic examination of the common bile duct necessary during laparoscopic cholecystectomy?
    Domergue, J
    GASTROENTEROLOGIE CLINIQUE ET BIOLOGIQUE, 1998, 22 (10): : 755 - 758
  • [33] INTRAOPERATIVE CHOLANGIOGRAPHY AND ANTEROGRADE COMMON BILE-DUCT EXPLORATION IN LAPAROSCOPIC CHOLECYSTECTOMY - TECHNIQUE, RESULTS, PERSPECTIVES
    NEUFANG, T
    LUDTKE, FE
    BARTKOWSKI, R
    BRUGGEMANN, A
    LEPSIEN, G
    ZENTRALBLATT FUR CHIRURGIE, 1994, 119 (06): : 388 - 414
  • [34] Management of major bile duct injury associated with laparoscopic cholecystectomy
    Robinson, TN
    Stiegmann, GV
    Durham, JD
    Johnson, SI
    Wachs, ME
    Serra, AD
    Kumpe, DA
    SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 2001, 15 (12): : 1381 - 1385
  • [35] Management of bile duct injury after laparoscopic cholecystectomy: a review
    Lau, Wan Yee
    Lai, Eric C. H.
    Lau, Stephanie H. Y.
    ANZ JOURNAL OF SURGERY, 2010, 80 (1-2) : 75 - 81
  • [36] Bile duct imaging and injury: A regional audit of laparoscopic cholecystectomy
    Merrie, AEH
    Booth, MWC
    Shah, A
    Pettigrew, RA
    McCall, JL
    AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 1997, 67 (10): : 706 - 711
  • [37] Management of major bile duct injury associated with laparoscopic cholecystectomy
    Robinson T.N.
    Stiegmann G.V.
    Durham J.D.
    Johnson S.I.
    Wachs M.E.
    Serra A.D.
    Kumpe D.A.
    Surgical Endoscopy, 2001, 15 (12) : 1381 - 1385
  • [38] Right hemihepatectomy for bile duct injury following laparoscopic cholecystectomy
    S. Heinrich
    H. Seifert
    L. Krähenbühl
    C. Fellbaum
    M. Lorenz
    Surgical Endoscopy And Other Interventional Techniques, 2003, 17 : 1494 - 1495
  • [39] Right hemihepatectomy for bile duct injury following laparoscopic cholecystectomy
    Heinrich, S
    Seifert, H
    Krähenbühl, L
    Fellbaum, C
    Lorenz, M
    SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2003, 17 (09): : 1494 - 1495
  • [40] Bile duct injury in laparoscopic cholecystectomy with a posterior infundibular approach
    Geers, Joachim
    Jaekers, Joris
    Topal, Halit
    Collignon, Andre
    Topal, Baki
    INTERNATIONAL JOURNAL OF HEPATOBILIARY AND PANCREATIC DISEASES, 2022, 12