Operative injuries to the bile ducts. Report on 12 cases.
We have reported on a series of 12 operative injuries to the bile ducts. We estimate the frequency of these accidents at 0.2% during cholecystectomy and 0.4% after gastroduodenectomy. We stress the importance of systematic cholangiography during the operation to prevent unrecognized lesions. Immediate repair of these lesions by an end-to-end anastomosis appears to be the best technical method. When faced with a high mortality rate, often due to non-recognition of a lesion, we stress the importance of prevention to limit the risk of such accidents occurring and non-recognition of those that do occur.
D000328:Adult; D000368:Aged; D001652:Bile Ducts / Q000601:surgery*; D002758:Cholangiography; D002763:Cholecystectomy; D004386:Duodenum / Q000601:surgery*; D005743:Gastrectomy; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D013514:Surgical Procedures, Operative / Q000009:adverse effects*