Management of major bile duct injury associated with laparoscopic cholecystectomy

被引：0

作者：

Robinson T.N. ^{[1
]}

Stiegmann G.V. ^{[1
]}

Durham J.D. ^{[2
]}

Johnson S.I. ^{[2
]}

Wachs M.E. ^{[1
]}

Serra A.D. ^{[2
]}

Kumpe D.A. ^{[2
]}

机构：

[1] Department of Surgery, University of Colorado, Health Sciences Center, Denver, CO 80262

[2] Department of Radiology, University of Colorado, Health Sciences Center, Denver, CO 80262

来源：

Surgical Endoscopy | 2001年 / 15卷 / 12期

关键词：

Bile duct injury; Common bile duct; Gallbladder; Laparoscopic cholecystectomy;

D O I：

10.1007/s00464-001-8156-0

中图分类号：

学科分类号：

摘要：

Background: Bile duct injury is a major complication of laparoscopic cholecystectomy. The purpose of this study was to evaluate our management strategy and outcomes for the treatment of such injuries. Methods: We studied 54 consecutive patients who had de novo bile duct injury (n = 20) or prior biliary injury repair (n = 34) associated with laparoscopic cholecystectomy. All patients were managed using a multidisciplinary approach. Results: Definitive operation, almost always Roux-en-Y hepaticojejunostomy, was required in 85% of patients. We inserted external percutaneous biliary catheters in 98% of cases prior to surgery. There were no operative deaths, and the 30-day complication rate was 20%. Eight patients (15%) were managed nonoperatively. Overall, 96% of patients had no long-term, objectively definable biliary sequelae. Conclusions: Treatment of bile duct injury associated with laparoscopic cholecystectomy is optimally done using a multidisciplinary approach. Surgical reconstruction is required in most cases and can be safely accomplished with minimal morbidity and excellent long-term outcomes.

引用

页码：1381 / 1385

页数：4

共 16 条

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