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
来源：
ACTA MEDICA OKAYAMA | 1993年 / 47卷 / 05期
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
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