[Treatment of bile ducts injuries after laparoscopic cholecystectomy].
Features of bile ducts injuries after laparoscopic cholecystectomy were analyzed at 54 patients. High level of lesions (H. Bismuth III-IV type) was revealed at 80% cases. Along with mechanical (transsection, excision, clipping) thermal injury of the bile ducts is usual at laparoscopic cholecystectomy. The injury was diagnosed during the operation at 21 (37.7%) cases, in 2-30 days after operation--at 30 (56.6%), and in 3 months--2 years--at 3 (5.7%) patients. Surgical tactics depended on level and terms of injury, state of bile duct wall and complications. Biliodigestive anastomosis with Roux techniques and transhepatic drainages was the main surgical method (76% cases). Peritonitis and other severe complications required two-stage treatment. Overall 40 (74.1%) patients followed-up more 3 years; there were no cases of stricture recurrence.
Artem'eva
N N
NN
Kokhanenko
N Iu
NIu
D000293:Adolescent; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D001649:Bile Duct Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001652:Bile Ducts / Q000293:injuries* / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D005705:Gallbladder Diseases / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D007431:Intraoperative Complications; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis; D012189:Retrospective Studies; D012421:Rupture; D013997:Time Factors; D014057:Tomography, X-Ray Computed