[Iatrogenic lesions of hepatocholedocus in cholecystectomy].
This is a report on nine patients presenting different intraoperative lesions to hepatocholedochus, some of them diagnosed in the course of operation, and others- after the intervention. A variety of plastic repairs of the hepatocholedochus, including simple suture, Saple's operation or hepatodigestive anastomosis after Longmayre are performed. The probability of inflicting lesions, the underlying causes and the therapeutic approach to concrete cases are analyzed. Abiding to the principles of surgery is strongly recommended, such as: sufficient and appropriate operative access, atraumatic manipulations, drainage of the gallbladder bed and the like, with a view to perclude serious and sometimes fatal complications' occurrence, as well as making early diagnosis and accordingly taking the most opportune surgical solution to the problem faced.
Stoianov
G
G
Pŭrvanov
P
P
Damianov
N
N
Angelov
A
A
Dimitrov
A
A
D017734:Bile Ducts, Extrahepatic / Q000293:injuries*; D002763:Cholecystectomy / Q000009:adverse effects*; D006801:Humans; D007049:Iatrogenic Disease