[Injury of biliary ducts in laparoscopic cholecystectomy].
Peculiarities of the biliary ducts (BD) damage while performance of laparoscopic cholecystectomy (LCHE) and their significance in the choice of the operative correction method were studied up. In 35 patients the kinds and mechanisms of BD damage were analyzed. Taking into account large and small injuries, the general frequency of BD trauma while performance of LCHE had constituted 0.11%, what is comparable with indexes, characteristic for open cholecystectomy. Electric burn of BD wall, isolated one or in conjunction with other kinds of trauma, were observed in 15 (42.8%) of patients. Miniinvasive interventions, including those using laparoscopic access, are effective in treatment of small and some kinds of partial injuries. The operation of choice in correction of BD damage is formation of high hepaticojejunoanastomosis, when diagnosis is established intraoperatively or was postponed.
Nichitaĭlo
M E
ME
Skums
A V
AV
Galochka
I P
IP
D000328:Adult; D000368:Aged; D001652:Bile Ducts / Q000293:injuries* / Q000601:surgery*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects* / Q000295:instrumentation; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology; D008297:Male; D008875:Middle Aged