title: Major bile duct injuries during cholecystectomy in children: conservative laparoscopic approach is possible.
abstract: Major bile duct injury is an inherent complication in cases of both open and laparoscopic cholecystectomies. In case of choledochal lesion, conservative treatment or internal derivation by a Roux-en-Y can be proposed. We report the case of a 5-year-old boy referred to our center for an iatrogenic choledochal ligation after open cholecystectomy (performed 20 d before) for asymptomatic gallbladder stone. We performed a laparoscopic conservative treatment with a consistent good result 5 years after the procedure.
authors.affiliation: Department of Paediatric Surgery, Hôpital d'Enfants de La Timone, Marseille, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Farinetti
authors.forename: Hèlene
authors.initials: H
authors.lastname: Le Hors
authors.forename: Mirna
authors.initials: M
authors.lastname: Haddad
authors.forename: Catherine
authors.initials: C
authors.lastname: Desvignes
authors.forename: René
authors.initials: R
authors.lastname: Laugier
authors.forename: Pascal
authors.initials: P
authors.lastname: de Lagausie
mesh_terms: D001652:Bile Ducts / Q000293:injuries* / Q000601:surgery; D002675:Child, Preschool; D002763:Cholecystectomy / Q000009:adverse effects*; D017081:Cholecystectomy, Laparoscopic / Q000379:methods; D002764:Cholecystitis / Q000175:diagnosis; D002908:Chronic Disease; D042882:Gallstones / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D007565:Jaundice / Q000209:etiology; D008297:Male; D024162:Second-Look Surgery / Q000379:methods