LAPAROSCOPIC INJURIES TO THE BILE-DUCT - A CAUSE FOR CONCERN

被引：161

作者：

MOOSSA, AR ^{[1
]}

EASTER, DW ^{[1
]}

VANSONNENBERG, E ^{[1
]}

CASOLA, G ^{[1
]}

DAGOSTINO, H ^{[1
]}

机构：

[1] UNIV CALIF SAN DIEGO,DEPT RADIOL,SAN DIEGO,CA 92103

来源：

ANNALS OF SURGERY | 1992年 / 215卷 / 03期

关键词：

D O I：

10.1097/00000658-199203000-00003

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The authors report six patients who had injuries to their common hepatic bile duct at laparoscopic cholecystectomy over a 16-month period. Five of the six complications could be attributed to laser injuries during dissection in the region of Calot's triangle. The authors discuss the possible mechanism of these injuries, their perioperative management, and the methods of surgical reconstruction. The follow-up period ranges from 3 months to 21 months. Liver function parameters and isotope biliary excretion scans are back to normal in all six patients. The potential hazards of laparoscopic surgery demand that extraordinary care be used not only during the actual surgical procedure, but also in the preoperative decision concerning the dissection method to be employed.

引用

页码：203 / 208

页数：6

共 20 条

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[2]

BERCI G, COMMUNICATION

[3]

BISMUTH H, 1978, SURG GYNECOL OBSTET, V146, P161

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