Biliary tract injuries after lap cholecystectomy—types, surgical intervention and timing
| Autor: | Theodossis S. Papavramidis, Ferdi Bozali, Eleni Efraimidou, Vasileia Vamvakerou, Zeinep Tzoutze Memet Chasan, Michail Karanikas, Markos Markou |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
business.industry Bile duct Incidence (epidemiology) General surgery medicine.medical_treatment General Medicine Tertiary care Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Biliary tract 030220 oncology & carcinogenesis Intervention (counseling) medicine 030211 gastroenterology & hepatology Cholecystectomy business Complication Laparoscopic cholecystectomy Focus on Surgical Techniques from Bench to Bedside |
| Zdroj: | Annals of Translational Medicine. 4:163-163 |
| ISSN: | 2305-5847 2305-5839 |
| DOI: | 10.21037/atm.2016.05.07 |
| Popis: | Bile duct lesions, including leaks and strictures, are immanent complications of open or laparoscopic cholecystectomy (LC). Endoscopic procedures have gained increasing potential as the treatment of choice in the management of postoperative bile duct injuries. Bile duct injury (BDI) is a severe and potentially life-threatening complication of LC. Several series have described a 0.5% to 0.6% incidence of BDI during LC. Early recognition and an adequate multidisciplinary approach are the cornerstones for the optimal final outcome. Suboptimal management of injuries often leads to more extensive damage to the biliary tree and its vasculature. Early referral to a tertiary care center with experienced hepatobiliary surgeons and skilled interventional radiologists would appear to be necessary to assure optimal results. |
| Databáze: | OpenAIRE |
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