Complex bile duct injuries: management.
نویسندگان
چکیده
BACKGROUND Laparoscopic cholecystectomy is the present treatment of choice for patients with gallbladder stones, despite its being associated with a higher incidence of biliary injuries compared with the open procedure. Injuries occurring during the laparoscopic approach seem to be more complex. A complex biliary injury is a disease that is difficult to diagnose and treat. We considered complex injuries: 1) injuries that involve the confluence; 2) injuries in which repair attempts have failed; 3) any bile duct injury associated with a vascular injury; 4) or any biliary injury in association with portal hypertension or secondary biliary cirrhosis. The present review is an evaluation of our experience in the treatment of these complex biliary injuries and an analysis of the international literature on the management of patients.
منابع مشابه
Clinical Experiences of Management of Bile Duct Injuries during Laparoscopic Cholecystectomy
Purpose: Laparoscopic cholecystectomy (LC) has become the gold standard of management of gallstone disease. LC is associated with a two-to-four times higher incidence of bile duct injury, which is a rare but more serious complication than open cholecystectomy. We reviewed our experiences with the management of bile duct injury during laparoscopic cholecystectomy. Methods: From January 1999 to A...
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Introduction Bile duct injury (BDI) represents a serious and challenging surgical complication. These complex injuries are most often a consequence of laparoscopic cholecystectomy (LC) [1] and are still a major problem in current surgical practice. BDI is associated with reduced survival, increased morbidity, and poor quality of life [2,3]. It is not clear whether the injury should be repaired ...
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ورودعنوان ژورنال:
- HPB : the official journal of the International Hepato Pancreato Biliary Association
دوره 10 1 شماره
صفحات -
تاریخ انتشار 2008