[Lesions of the bile ducts in open cholecystectomy].
The incidence of bile duct injuries during open cholecystectomy is around 2/1000. The most common lesion is complete divisions of the common bile duct, followed by partial divisions, stenoses or obstructions. The therapy of the lesions recognized intraoperatively is end-to-end anastomosis or, in the case of greater defects, hepaticojejunostomy. Strictures manifesting while after cholecystectomy can primarily be treated endoscopically, in divisions of obstructions hepaticojejunostomy is indicated; in high lesions the Hepp-Couinaud approach can be advocated.
Gebhardt
C
C
Klinik für Abdominal-, Thorax- und Endokrine Chirurgie, Städtischen Klinikums Nürnberg-Nord.
Meinl
P
P
D000714:Anastomosis, Surgical / Q000379:methods; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000000981:diagnostic imaging / Q000601:surgery*; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging / Q000601:surgery; D003135:Common Bile Duct / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D004724:Endoscopy; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D007582:Jejunostomy / Q000379:methods; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D013536:Suture Techniques
Gallenwegsläsionen bei der offenen Cholecystektomie.