Treatment of iatrogenic common bile duct injury during laparoscopic cholecystectomy through the laparoscopic insertion of a T-tube stent.
Iatrogenic injury to the common bile duct during laparoscopic cholecystectomy has previously necessitated an immediate laparotomy to alleviate bile leakage. In the course of 171 laparoscopic cholecystectomies performed at our hospital, intraoperative common bile duct injuries occurred in 2 patients. Each case was successfully treated using a laparoscopically placed T-tube, thus avoiding the need for a laparotomy. This novel intraoperative procedure successfully treated common bile duct injuries without resulting in postoperative complications.
Lepsien
G
G
Klinik für Allgemeinchirurgie der Universität, Göttingen, Federal Republic of Germany.
Lüdtke
F E
FE
Neufang
T
T
Schafmayer
A
A
Peiper
H J
HJ
D000328:Adult; D002763:Cholecystectomy / Q000009:adverse effects*; D003135:Common Bile Duct / Q000293:injuries*; D006801:Humans; D007049:Iatrogenic Disease; D007431:Intraoperative Complications; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D015607:Stents