[Iatrogenic injuries of the bile ducts in laparoscopic cholecystectomy]. 1996

J Sváb, and M Pesková
I. chirurgická klinika 1. LF UK a VFN, Praha.

The authors draw attention to possible injuries of the bile duct during laparoscopic cholecystectomy. They present their own experience with the treatment of 15 patients with this damage between 1993 and 1995. In nine instances they performed first re-operations. Once insufficiency of the cystic duct was involved once a clamp on the common bile duct, seven times thermal damage of the bile duct and six times severing or resection of the bile duct. On these grounds a plastic operation of the bile duct on the endoprosthesis was made seven times, a high hilar anastomosis with a blind loop of the jejunum, as described by Roux, six times, once ligature of the cystic duct by an open approach and once ablation of the clamp from the bile duct. When an endoprosthesis is used, the authors recommended the long-term administration of deoxycholic acid derivatives. The reduced number of these injuries in 1995 at the clinic may, in the authors, opinion, be due to the fact that surgeons have acquired reasonable skill as regards the technique of thus operation.

UI MeSH Term Description Entries
D007431 Intraoperative Complications Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure. Peroperative Complications,Surgical Injuries,Complication, Intraoperative,Complication, Peroperative,Injuries, Surgical,Complications, Intraoperative,Complications, Peroperative,Injury, Surgical,Intraoperative Complication,Peroperative Complication,Surgical Injury
D008297 Male Males
D008722 Methods A series of steps taken in order to conduct research. Techniques,Methodological Studies,Methodological Study,Procedures,Studies, Methodological,Study, Methodological,Method,Procedure,Technique
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D001652 Bile Ducts The channels that collect and transport the bile secretion from the BILE CANALICULI, the smallest branch of the BILIARY TRACT in the LIVER, through the bile ductules, the bile ducts out the liver, and to the GALLBLADDER for storage. Bile Duct,Duct, Bile,Ducts, Bile
D014947 Wounds and Injuries Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity. Injuries,Physical Trauma,Trauma,Injuries and Wounds,Injuries, Wounds,Research-Related Injuries,Wounds,Wounds and Injury,Wounds, Injury,Injury,Injury and Wounds,Injury, Research-Related,Physical Traumas,Research Related Injuries,Research-Related Injury,Trauma, Physical,Traumas,Wound

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