Laparoscopic bile duct injuries: spectrum at a tertiary-care center

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
S S SikoraV K Kapoor

Abstract

Laparoscopic cholecystectomy (LC) is associated with a higher incidence of bile duct injury than is open cholecystectomy. We reviewed our experiences with the management of laparoscopic bile duct injuries. From October 1992 through August 1998, 34 patients with bile duct injuries (BDI) following LC were seen. The presentation, type of injury (Strasberg classification), management, and outcome were analyzed in these patients. Of the 16 patients who sustained injury at our center (type A [N = 9], D [N = 5], and E1 [N = 2]), in 14, the injury was detected during LC, and two patients manifested with postoperative bile leak. All patients had an excellent outcome at a median follow-up of 5.5 (range 1.9-8.0) years. Of the 18 patients who sustained injury elsewhere (type C [N = 1], D [N = 2], E [N = 14; 6 with external biliary fistula (EBF) and 8 with benign biliary stricture (BBS)], and not known [1]), 9 had EBF, 1 had biliary peritonitis, and 8 had BBS at the time of presentation. Of these 18 patients, 4 underwent early repair of the BDI before referral (repair over a T-tube [N = 2] and Roux-Y hepaticojejunostomy [N = 2]). Three of them developed restricture. One patient was referred to us within 12 hours of injury and had a successf...Continue Reading

References

Feb 1, 1992·American Journal of Surgery·G M LarsonC R Voyles
Mar 1, 1992·Annals of Surgery·A M DavidoffW C Meyers
Mar 1, 1992·Annals of Surgery·A R MoossaH D'Agostino
Mar 1, 1991·American Journal of Surgery·A CuschieriH Troidl
Sep 1, 1989·American Journal of Surgery·C K McSherry
Apr 1, 1985·Annals of Surgery·A Andrén-SandbergS Bengmark
Sep 1, 1995·World Journal of Surgery·F P ScholD J Gouma
Dec 1, 1994·American Journal of Surgery·M S WoodsJ J Brandabur
Jul 1, 1993·World Journal of Surgery·M RauteB Chir
Sep 1, 1993·The Australian and New Zealand Journal of Surgery·A J RichardsonJ M Little
Apr 25, 1993·Orvosi hetilap·M IhászM Bereczki
Apr 1, 1993·American Journal of Surgery·J Perissat
Apr 1, 1993·American Journal of Surgery·T R Gadacz
Apr 1, 1993·American Journal of Surgery·V S LeeW C Meyers
Jun 1, 1993·American Journal of Surgery·N J SoperG Aliperti
Jun 1, 1997·The British Journal of Surgery·D F MirzaJ A Buckels
Jul 4, 1998·The British Journal of Surgery·N DoctorB R Davidson

❮ Previous
Next ❯

Citations

Feb 2, 2013·The Indian Journal of Surgery·Sadiq S Sikora
Feb 3, 2004·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Juan Angel FernándezPascual Parrilla
Jul 1, 2012·Medical Journal, Armed Forces India·U S Dadhwal, Vipon Kumar
Mar 27, 2007·Journal of Hepato-biliary-pancreatic Surgery·Biju PottakkatVinay K Kapoor
Oct 3, 2007·Journal of Hepato-biliary-pancreatic Surgery·Vinay K Kapoor

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.