[Severe complications after cholecystectomy by celioscopy: lessons from yesterday and today].
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.
Evrard
S
S
Clinique Chirurgicale A, Les Hôpitaux Universitaires de Strasbourg.
Dondelinger
R F
RF
Mutter
D
D
Vix
M
M
Mendoza-Burgos
L
L
Marescaux
J
J
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
Graves complications après cholécystectomie par coelioscopie: leçons d'hier et d'aujourd'hui.