Comparative analysis of iatrogenic injury of biliary tract in laparotomic and laparoscopic cholecystectomy

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Comparative analysis of iatrogenic injury of biliary tract in laparotomic and laparoscopic cholecystectomy.

BACKGROUND Iatrogenic injury to the bile ducts is the most feared complication of cholecystectomy and several are the possibilities to occur. AIM To compare the cases of iatrogenic lesions of the biliary tract occurring in conventional and laparoscopic cholecystectomy, assessing the likely causal factors, complications and postoperative follow-up. METHODS Retrospective cohort study with ana...

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Management of Biloma due to Biliary Tract Injury after Laparoscopic Cholecystectomy in a patient with Atypical Anatomy: A Case Report

  Introduction: Biliary tract injury is a major complication of laparoscopic cholecystectomywhich can be very challenging. But, the important part is to know the accurate anatomy of the ducts and site of the injury before any surgical attempt for ligation or repair. In this case a disaster might happ...

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Avoidance of biliary injury during laparoscopic cholecystectomy.

Biliary injury during laparoscopic cholecystectomy is still a serious problem. Injury occurs as a result of technical errors or misidentification of ducts. Inexperience, inflammation, and aberrant anatomy are key risk factors. The most serious technical problem is cautery-induced injury. This problem may be avoided by use of cautery under very low power settings in the triangle of Calot. Miside...

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Iatrogenic bile duct injury during laparoscopic cholecystectomy.

Laparoscopic cholecystectomy has largely replaced open cholecystectomy as the standard of care for gallbladder excision. A major disadvantage of this trend has been the increased incidence of bile duct injuries, which, while uncommon, are significantly higher with laparoscopic cholecystectomy. Most injuries are not recognized at the time of surgery and present in a delayed fashion, leading to s...

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ژورنال

عنوان ژورنال: ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

سال: 2014

ISSN: 0102-6720

DOI: 10.1590/s0102-67202014000400010