Major bile duct injuries during laparoscopic cholecystectomy. Follow-up after combined surgical and radiologic management

Annals of Surgery
K D LillemoeH A Pitt

Abstract

The authors provide the results of follow-up evaluation after combined surgical and radiologic management of 89 patients with major bile duct injuries during laparoscopic cholecystectomy. The incidence and mechanism of injury of major bile duct injuries during laparoscopic cholecystectomy has been clearly defined. Furthermore, a number of series have described the management of these injuries by surgical, endoscopic, and radiologic techniques with excellent short-term results. Long-term follow-up data, however, are lacking in the management of these injuries. Data were collected prospectively on 89 patients treated at a single institution with major bile duct injuries after laparoscopic cholecystectomy managed between July 1, 1990, and July 1, 1996. Patients referred with injuries underwent early percutaneous transhepatic cholangiography and biliary drainage. Based on the cholangiographic appearance and clinical situation, patients were managed by either percutaneous balloon dilatation or surgical reconstruction with a Roux-en-Y hepaticojejunostomy with transanastomotic stenting. Follow-up was obtained by personal interview during October 1996. Two patients died without an attempt at definitive therapy. Both deaths were caused ...Continue Reading

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Citations

Oct 29, 2005·Der Radiologe·A LubienskiT Helmberger
Feb 22, 2011·Langenbeck's Archives of Surgery·Jerzy LubikowskiMaciej Wójcicki
Mar 27, 2007·Journal of Hepato-biliary-pancreatic Surgery·Biju PottakkatVinay K Kapoor
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Mar 6, 2008·The British Journal of Surgery·K D Lillemoe

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