[Prevention of iatrogenic injury of the extrahepatic ducts and vessels and diagnosis of choledocholithiasis during open and laparoscopic cholecystectomy].
The results of treatment of 334 patients, operated on for cholelithic disease, were analyzed. In 164 of them intraoperative transillumination (IT) was applied and in 170--the generally accepted methods of the hepatoduodenal ligament content exposure. There was established the expedience of the IT application for the extrahepatic biliary ducts (EBD) and vessels verification as well as for the choledocholithiasis diagnosis during performance of laparoscopic and open cholecystectomy. Application of IT and the laparoscopic cholecystectomy method proposed have ad permitted to reduce trustworthy the frequency of the EBD and the vessels iatrogenic injury.
Nychytaĭlo
M Iu
MIu
Shapryns'kyĭ
V O
VO
Vorovs'kyĭ
O O
OO
Karyĭ
Ia V
IaV
Babiĭchuk
Iu V
IuV
Kapitanchuk
Iu A
IuA
Serhiĭchuk
O L
OL
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017734:Bile Ducts, Extrahepatic / Q000098:blood supply / Q000293:injuries / Q000601:surgery; D002763:Cholecystectomy / Q000009:adverse effects / Q000379:methods; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000379:methods; D042883:Choledocholithiasis / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006499:Hepatic Artery / Q000293:injuries / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease / Q000453:epidemiology / Q000517:prevention & control*; D007431:Intraoperative Complications / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D014172:Transillumination / Q000379:methods*