[Diagnosis and treatment of complications during cholecystectomy].
The incidence of bile duct injury after laparoscopic cholecystectomy has been reduced to 0.6%. One factor contributing to such injuries is misidentification of the bile duct anatomy. During laparoscopic cholecystectomy the surgeon should follow the criteria for dissection of the triangle of Calot and dealing with bleeding. Immediate reconstruction over a T-tube may be possible, or a baby-feeding tube should be inserted into the proximal part of the bile duct and the patient should be transferred to a center with experience in bile duct reconstruction.
Burcharth
Flemming
F
Kirurgisk Gastroenterologisk Afdeling D, Amtssygehuset i Herlev, DK-2730 Herlev. flbu@herlevhospkbhamt.dk
Moesgaard
Flemming A
FA
D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects* / Q000379:methods; D003135:Common Bile Duct / Q000293:injuries / Q000601:surgery; D006500:Hepatic Duct, Common / Q000293:injuries / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000601:surgery / Q000628:therapy; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery / Q000628:therapy; D017410:Practice Guidelines as Topic; D019651:Plastic Surgery Procedures