title: [Treatment of iatrogenic lesions of the common bile duct].
abstract: The authors report 32 patients admitted to the hospital with iatrogenic bile duct stricture. Cholecystectomy with or without bile duct exploration was the most frequent (84.3%) surgical procedure responsible for the lesion, followed by BII gastric resection. Six patients had undergone one previous attempt at repair in another institution. Most patients had undergone a hepatojejunostomy, which has the procedure of choice in the last cases. Mortality and morbidity rates were 0 and 15%, respectively. The complications reported were a biliary fistula and 2 post-repair bile strictures that required one or more re-operations. During the follow-up 2 other patients developed episodes of cholangitis, treated medically. Clinical, diagnostic and therapeutic aspects of iatrogenic bile duct strictures are reviewed.
authors.affiliation: Dipartimento di Chirurgia, Università degli Studi di Catania.
authors.forename: R
authors.initials: R
authors.lastname: Vecchio
authors.forename: M
authors.initials: M
authors.lastname: Ferrara
authors.forename: L
authors.initials: L
authors.lastname: Pucci
authors.forename: G
authors.initials: G
authors.lastname: Meli
authors.forename: S
authors.initials: S
authors.lastname: Latteri
mesh_terms: D000328:Adult; D000368:Aged; D003135:Common Bile Duct / Q000293:injuries*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*