title: [Injuries of the extrahepatic bile ducts. Clinical aspects, diagnosis and therapy].
abstract: From 1990 to 1995, 27 patients with biliary injuries were treated at the Department of General Surgery of Münster University Hospitals. All lesions occurred during cholecystectomy, either via laparoscopy (n = 17) or via laparotomy (n = 10). Ten patients were male and 17 female. The mean age was 51.2 years. In all cases a preoperative ERCP was performed. Based on the ERCP status a new classification was developed taking into account the type and location of the injury, as well as the opportunity for endoscopic treatment. Twenty-two patients underwent surgical bile duct reconstructions (12 hepaticojejunostomies, 3 choledochojejunostomies, 7 direct reconstructions). In five cases endoscopic therapy alone was successful. The perioperative mortality was 7.4% (2/27). Three of the surviving 25 had to be readmitted for recurrent cholangitis. Only 15 feel well without any limitations on everyday activities.
authors.affiliation: Klinik für Allgemeine Chirurgie, Westfälische Wilhelms-Universität, Münster.
authors.forename: U
authors.initials: U
authors.lastname: Sulkowski
authors.forename: J
authors.initials: J
authors.lastname: Brockmann
authors.forename: P
authors.initials: P
authors.lastname: Dinse
mesh_terms: D017734:Bile Ducts, Extrahepatic / Q000293:injuries* / Q000601:surgery; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000295:instrumentation*; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D015996:Survival Rate
vernacular_title: Verletzungen der extrahepatischen Gallenwege. Klinik, Diagnostik und Therapie.