JaLCDOI 10.18926/AMO/31585
FullText URL fulltext.pdf
Author Kurose, Masao| Hakazaki, Keisuke| Matsuoka, Junji| Takai, Kenichi| Kaneshige, Tetsuzo| Moreira, Luis Fernando| Mimura, Hisashi| Orita, Kunzo|
Abstract <p>Bile duct injury can occur more frequently during laparoscopic cholecystectomy than in open cholecystectomy. Three cases of common bile or hepatic duct injuries occurred in a series of eighty laparoscopic cholecystectomies; In case 1, the common bile duct was misidentified as the cystic duct. In case 2, bile peritonitis occurred on the fourth postoperative day caused by necrosis of the common hepatic duct involving the cautery surrounding it. In case 3, a bile leak occurred due to an incision at the confluence of the cystic and common duct. Dissection of the cystic duct at the infundibulum of the gallbladder, blunt dissection of the Calot's triangle, the handling of clips with special attention for safety were thought to be necessary in order to lower the risk of bile duct injury. Preoperative endoscopic retrograde cholangiography (ERCP) is recommended to avoid bile duct injury.</p>
Keywords bile duct injury laparoscopic cholecystectomy
Amo Type Article
Published Date 1993-10
Publication Title Acta Medica Okayama
Volume volume47
Issue issue5
Publisher Okayama University Medical School
Start Page 351
End Page 353
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language 英語
File Version publisher
Refereed True
PubMed ID 8273459
Web of Science KeyUT A1993ME47100010