Treatment of Common Bile Duct Injuries during Laparoscopic Cholecystectomy: Endoscopic and Surgical Management

2001 ◽  
Vol 25 (10) ◽  
pp. 1346-1351 ◽  
Author(s):  
Attila Csendes ◽  
Claudio Navarrete ◽  
Patricio Burdiles ◽  
Julio Yarmuch
2005 ◽  
Vol 241 (5) ◽  
pp. 786-795 ◽  
Author(s):  
Jason K. Sicklick ◽  
Melissa S. Camp ◽  
Keith D. Lillemoe ◽  
Genevieve B. Melton ◽  
Charles J. Yeo ◽  
...  

2002 ◽  
Vol 387 (7-8) ◽  
pp. 286-293 ◽  
Author(s):  
Hendrik Seeliger ◽  
Alois Fürst ◽  
Carl Zülke ◽  
Karl-Walter Jauch

2021 ◽  
Vol 15 (7) ◽  
pp. 1700-1702
Author(s):  
Muhammad Khawar Shahzad ◽  
Tariq Ali Bangash ◽  
Amer Latif ◽  
Hussam Ahmed ◽  
Muhammad Asif Naveed ◽  
...  

Objective: To describe the surgical management of complex bile duct injuries in a specialized hepatopancreatobiliary unit. Design of the Study: It was a retrospective study. Study Settings: This study was carried out at Department of Anaesthesia and Hepatobiliary Unit, Sheikh Zayed Hospital Lahore from August 2017 to August 2019. Material and Methods: This retrospective study includes 80 patients of bile duct injury who underwent surgical correction of bile duct injury at specialized Hepatopancreatobiliary [HPB] and liver transplant department of Shaikh Zayed Hospital Lahore. All the subjects were evaluated by retrospectively. The information regarding primary operative procedure, drain placement, T-tube placement, presentation, hospital stay, Liver Function Tests [LFTs], level of biliary tract injury and type of surgical procedure obtained from patients records. Results of the Study: During the study period 80 patients – 65 females and 15 male were operated for bile duct injury. Mean age was 39.89 years range 21 to 65 years. Hospital stay ranges from 9 to 36 days with mean of 16.18 days. Patients underwent open cholecystectomy, 43.8% laparoscopic cholecystectomy and in 3 patients procedure was converted from laparoscopic to open. 52.5% patients underwent open cholecystectomy, 43.8 laparoscopic cholecystectomy and in 3 patient’s procedure was converted from laparoscopic to open. Conclusion: It is concluded that the correct long lasting and physiological method to treat injuries of bile duct is only surgical repair. Although, surgical repair of bile duct must be operated by skilled hepatopancreaticobiliary surgeons. A practical method which is selected appropriately and implemented successfully has surely improved surgical outcome without any problem faced during the operation. Keywords: Hepatopancreatobiliary, Bile Duct Injury, Surgical Management


1998 ◽  
Vol 12 (4) ◽  
pp. 310-314 ◽  
Author(s):  
B. J. Carroll ◽  
M. Birth ◽  
E. H. Phillips

2010 ◽  
Vol 76 (3) ◽  
pp. 287-291
Author(s):  
Matt B. Martin ◽  
Kristen R. Earle

This retrospective review supports the hypothesis that a surgeon acting as first assistant during laparoscopic cholecystectomy will reduce the incidence of significant common bile duct (CBD) injuries (BDIs). Central Carolina Surgery, P.A., is a single-specialty general surgery group of 19 surgeons that have performed 8767 laparoscopic cholecystectomies from October 1999 to December 2007. In those cases, 89 per cent of the cases had surgeons as first assistants and 66 per cent of the cases were performed with intraoperative cholangiography. Five cases of BDI occurred during this period for an incidence of 0.0570 per cent. Only three of these injuries required bilioenteric anastomotic reconstruction. When this same group of surgeons learned to perform laparoscopic cholecystectomy in 1990, their published series (Surgical Endoscopy: [1993] 7:300 to 303] of 762 cases had 98 per cent of cases performed with a surgeon as first assistant and no CBD injuries. Only 27 per cent of those 762 cases had intraoperative cholangiograms. This single-practice general surgery experience supports the use of a surgeon as first assistant to lower the incidence of CBD injures.


HPB ◽  
2018 ◽  
Vol 20 ◽  
pp. S744
Author(s):  
E.H. Gad ◽  
Eslam Ayoup ◽  
Yasmin Kamel ◽  
Talat Zakaria ◽  
Mohamed Abbasy ◽  
...  

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