[Alternative surgical approaches to bilio-digestive diversions in iatrogenic lesions of the bile ducts].
The aim of this report was to evaluate the indications and limitations of non-anastomotic surgical repair in patients with bile duct injuries. These surgical approaches include both major and minor surgical procedures. The authors describe each procedure and conclude that: (i) specific diagnostic procedures are necessary to identify the exact level and severity of the injury; (ii) repair of bile duct injuries requires different approaches, which is only possible in specialized departments; and (iii) non-anastomotic surgical repair of bile duct injuries should be limited to cases detected during operation or in the immediate postoperative period.
Santangelo
Michele
M
Cattedra di Metodologia Clinico Chirurgica Facoltà di Medicina e Chirurgia, Università degli Studi di Catanzaro Magna Graecia.
Sergi
Ninna
N
Riitano
Juana
J
Aversa
Corrado
C
Salatino
Umberto
U
Guida
Assunta
A
Luongo
Alessandro
A
Battaglia
Massimiliano
M
Rotundo
Adriana
A
De Franciscis
Stefano
S
D001652:Bile Ducts / Q000293:injuries*; D013505:Digestive System Surgical Procedures / Q000379:methods; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery*