Safety Surgery in Laparoscopıc Cholesistectomy
Autor: | Ali Durubey Çevlik, Serhan Derici, Ali Kadir Degirmenci |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
0301 basic medicine
medicine.medical_specialty lcsh:R5-920 business.industry lcsh:R lcsh:Medicine General Medicine Surgery 03 medical and health sciences 030104 developmental biology 0302 clinical medicine Biliary duct injury 030220 oncology & carcinogenesis medicine business lcsh:Medicine (General) laparoscopic cholecystectomy Critical View of Safety |
Zdroj: | Haseki Tıp Bülteni, Vol 55, Iss 3, Pp 235-238 (2017) |
ISSN: | 2147-2688 1302-0072 |
Popis: | Bile duct injuries are the most frightening complications in laparoscopic cholecystectomy surgery. It is thought that incomplete surgical field dissection causes these situations. In this case, cholelithiasis and minimal intrahepatic biliary duct dilatation were determined on ultrasonography. None of biliary duct variation was determined on magnetic resonance cholangiopancreatography (MRCP). According to these results, it was decided to perform laparoscopic cholecystectomy. Surgery was performed according to the “Critical View of Safety” principles. Thus, the accessory bile duct could be seen and surgery was completed without any complication. It was aimed to demonstrate that the “Critical View of Safety” principles can prevent ductal complications in situations where preoperative MRCP cannot determine bile duct anomalies. Sensitivity of preoperative tests is not 100% for biliary duct anomalies. Therefore, to prevent bile duct injuries, we should perform laparoscopic cholecystectomy according to the “Critical View of Safety” principles for all patients. |
Databáze: | OpenAIRE |
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