title: [Severe complications after cholecystectomy by celioscopy: lessons from yesterday and today].
abstract: The case of a series of grave complications after a laparoscopic cholecystectomy is reported: a common bile duct section diagnosed rather late, hemoperitoneum, inappropriate common bile duct reconstruction and late anastomic leakage, stenosis of an hepatico-jejunal anastomosis, haemorrhage through the external biliary drainage and iterating sepsis. The final outcome was good. The stenotic hepatico-jejunal anastomosis was dilated by a Gianturco self-expanding prosthesis percutaneously placed. As an evidence, this alternative treatment is only exceptional, the treatment of choice for postsurgical benign strictures being surgical repair.
authors.affiliation: Clinique Chirurgicale A, Les Hôpitaux Universitaires de Strasbourg.
authors.forename: S
authors.initials: S
authors.lastname: Evrard
authors.forename: R F
authors.initials: RF
authors.lastname: Dondelinger
authors.forename: D
authors.initials: D
authors.lastname: Mutter
authors.forename: M
authors.initials: M
authors.lastname: Vix
authors.forename: L
authors.initials: L
authors.lastname: Mendoza-Burgos
authors.forename: J
authors.initials: J
authors.lastname: Marescaux
mesh_terms: D000714:Anastomosis, Surgical; D001658:Biliary Fistula / Q000209:etiology / Q000601:surgery; D002758:Cholangiography; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D003137:Common Bile Duct Diseases / Q000209:etiology* / Q000601:surgery; D006431:Hemobilia / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000000981:diagnostic imaging / Q000601:surgery; D008099:Liver / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000209:etiology*; D011183:Postoperative Complications
vernacular_title: Graves complications après cholécystectomie par coelioscopie: leçons d'hier et d'aujourd'hui.