[Long-term follow up of bile duct injury by laparoscopic cholecystectomy and reconstruction with jejunum interposition].
The follow-up of patients with severe bile duct lesions after laparoscopic cholecystectomy often shows secondary complications. We report on a female patient suffering from long-lasting complications after bile duct injury and early reconstruction by end-to-end anastomosis via a T-tube drainage. More than 5 years later and after multiple dilatation and stenting of the bile duct stenosis the patient was treated with an expanding metal stent. The severe cholangitis persisted. So the patient was operated on: bile duct and connected stent were resected. The reconstruction was performed with an isoperistaltic jejunal conduit. More than 24 months later the patient is healthy and at work again.
Pietsch
M
M
Abteilung für Allgemein-, Viszeral- und Gefässchirurgie, St. Barbara Hospital, Gladbeck.
Fechtig
T
T
Friedrich
J
J
Breuing
D
D
Erhard
J
J
D002761:Cholangitis / Q000175:diagnosis / Q000601:surgery; D017081:Cholecystectomy, Laparoscopic / Q000295:instrumentation*; D001651:Cholestasis, Extrahepatic / Q000175:diagnosis / Q000601:surgery*; D003135:Common Bile Duct / Q000293:injuries* / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D015607:Stents
Langzeitverlauf nach Gallengangverletzung durch laparoskopische Cholecystektomie und Rekonstruktion durch ein Jejunuminterponat.