Iatrogenic injuries to the extrahepatic biliary tract.
Iatrogenic injuries to the extrahepatic biliary tract continue to occur and result in significant morbidity. Over the last 10 years, 26 patients have been referred to Westmead Hospital for management of iatrogenic biliary tract injuries. Of these injuries, 22 occurred during cholecystectomy, three during hepatectomy and one during a pancreaticoduodenectomy. The principles of avoidance and repair are discussed. It is concluded that these injuries, although uncommon, continue to occur and that the best treatment results are achieved in specialized hepatobiliary units.
Richardson
A J
AJ
Department of Surgery, Westmead Hospital, New South Wales, Australia.
Tait
N
N
Muguti
G
G
Little
J M
JM
D000328:Adult; D000368:Aged; D001659:Biliary Tract / Q000293:injuries*; D002763:Cholecystectomy / Q000009:adverse effects*; D002768:Choledochostomy / Q000592:standards; D004106:Dilatation / Q000592:standards; D005260:Female; D005500:Follow-Up Studies; D006498:Hepatectomy / Q000009:adverse effects*; D006757:Hospital Units; D006801:Humans; D015994:Incidence; D007431:Intraoperative Complications / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009517:New South Wales / Q000453:epidemiology; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery