Extrahepatic Bile Ducts Injury during Laparoscopic Cholecystectomy
| Autor: | A. B. Dzhadzhiev, O. Kh. Khalidov, A. N. Gudkov, G. P. Dmitrienko, V. S. Fomin, A. G. Kartsev |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Hepatology business.industry Gallbladder Incidence (epidemiology) General surgery Gallbladder disease Gastroenterology Mean age medicine.disease City hospital medicine.anatomical_structure medicine Acute cholecystitis Cholecystitis Surgery business Laparoscopic cholecystectomy |
| Zdroj: | Annaly khirurgicheskoy gepatologii = Annals of HPB surgery. 22:46-52 |
| ISSN: | 2408-9524 1995-5464 |
| DOI: | 10.16931/1995-5464.2017446-52 |
| Popis: | Aim. To analyze the incidence and nature of biliary injuries during laparoscopic cholecystectomy within 10 years in a single hospital. Material and Methods. From 2007 for 2017 at the V.V. Veresayev City Hospital 1787 patients underwent laparoscopic cholecystectomy for benign gallbladder disease including calculous cholecystitis and polyps of the gallbladder. Elective and emergency procedures were carried out in 68.8% and 31.2% of cases respectively. Females were predominant. Mean age was 46.32 ± 4.64 years. Various types of biliary injuries were determined according to Strasberg (1995) classification. Results. Iatrogenic biliary injuries were revealed in 8 (0.45%) patients including 4 (0.72%) cases of acute cholecystitis and 4 (0.33%) cases of elective management. Conclusion. In our opinion, the main requirement for safe laparoscopic cholecystectomy is careful and laborious preparation in Calot`s triangle zone. We consider expedient video fixing of operation for the analysis of surgeon’s technique and mistakes and for assessment of interesting observations in the training process of personnel and cadets of the clinic. |
| Databáze: | OpenAIRE |
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