[Postoperative handling in biliodigestive derivation by iatrogenic bile duct injury].
Bile duct injury is a severe complication related to cholecystectomy, impacting in the long-term quality of life and functional status. Bile duct repair is the first-line treatment for complex injuries. During short-term and long-term postoperative care, it is important to bear in mind the diagnostic tools, both laboratory and imaging, that will be useful to evaluate a possible surgical complication and to plan an adequate therapeutic strategy. In addition, post-surgical classification describes patients according to their complications and clinical course. In this review we describe the principal issues of postoperative care after bile duct repair, highlighting the diagnosis, severity classification and therapeutic approach of acute cholangitis.
Domínguez
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Departamento de Cirugía, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", México DF.
Mercado
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MA
D001652:Bile Ducts / Q000293:injuries* / Q000601:surgery*; D002761:Cholangitis / Q000601:surgery; D002763:Cholecystectomy; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery*