Laparoscopic injuries to the bile duct. A cause for concern.
Identifieur interne : 000104 ( Ncbi/Merge ); précédent : 000103; suivant : 000105Laparoscopic injuries to the bile duct. A cause for concern.
Auteurs : A R Moossa ; D W Easter ; E. Van Sonnenberg ; G. Casola ; H. D'AgostinoSource :
- Annals of Surgery [ 0003-4932 ] ; 1992.
Abstract
The authors report six patients who had injuries to their common hepatic bile duct at laparoscopic cholecystectomy over a 16-month period. Five of the six complications could be attributed to laser injuries during dissection in the region of Calot's triangle. The authors discuss the possible mechanism of these injuries, their perioperative management, and the methods of surgical reconstruction. The follow-up period ranges from 3 months to 21 months. Liver function parameters and isotope biliary excretion scans are back to normal in all six patients. The potential hazards of laparoscopic surgery demand that extraordinary care be used not only during the actual surgical procedure, but also in the preoperative decision concerning the dissection method to be employed.
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PubMed: 1531914
PubMed Central: 1242422
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Ann Surg</journal-id><journal-title>Annals of Surgery</journal-title><issn pub-type="ppub">0003-4932</issn><issn pub-type="epub">1528-1140</issn></journal-meta><article-meta><article-id pub-id-type="pmid">1531914</article-id><article-id pub-id-type="pmc">1242422</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Laparoscopic injuries to the bile duct. A cause for concern.</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Moossa</surname><given-names>A R</given-names></name></contrib><contrib contrib-type="author"><name><surname>Easter</surname><given-names>D W</given-names></name></contrib><contrib contrib-type="author"><name><surname>Van Sonnenberg</surname><given-names>E</given-names></name></contrib><contrib contrib-type="author"><name><surname>Casola</surname><given-names>G</given-names></name></contrib><contrib contrib-type="author"><name><surname>D'Agostino</surname><given-names>H</given-names></name></contrib></contrib-group><aff>Department of Surgery, University of California, San Diego.</aff><pub-date pub-type="ppub"><month>3</month><year>1992</year></pub-date><volume>215</volume><issue>3</issue><fpage>203</fpage><lpage>208</lpage><related-article related-article-type="commentary" vol="218" page="215" id="N0x8aea1b8.0x95a9d40" xlink:href="8343004" ext-link-type="pubmed"></related-article><abstract><p>The authors report six patients who had injuries to their common hepatic bile duct at laparoscopic cholecystectomy over a 16-month period. Five of the six complications could be attributed to laser injuries during dissection in the region of Calot's triangle. The authors discuss the possible mechanism of these injuries, their perioperative management, and the methods of surgical reconstruction. The follow-up period ranges from 3 months to 21 months. Liver function parameters and isotope biliary excretion scans are back to normal in all six patients. The potential hazards of laparoscopic surgery demand that extraordinary care be used not only during the actual surgical procedure, but also in the preoperative decision concerning the dissection method to be employed.</p><sec sec-type="scanned-figures"><title>Images</title><fig id="F1"><label>FIG. 2.</label><graphic xlink:href="annsurg00085-0024-a" xlink:role="204"></graphic></fig><fig id="F2"><label>FIG. 3.</label><graphic xlink:href="annsurg00085-0025-a" xlink:role="205"></graphic></fig><fig id="F3"><label>FIG. 4.</label><graphic xlink:href="annsurg00085-0025-b" xlink:role="205"></graphic></fig><fig id="F4"><label>FIG. 5.</label><graphic xlink:href="annsurg00085-0025-c" xlink:role="205"></graphic></fig><fig id="F5"><label>FIG. 6.</label><graphic xlink:href="annsurg00085-0026-a" xlink:role="206"></graphic></fig></sec></abstract></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Casola, G" sort="Casola, G" uniqKey="Casola G" first="G" last="Casola">G. Casola</name><name sortKey="D Agostino, H" sort="D Agostino, H" uniqKey="D Agostino H" first="H" last="D'Agostino">H. D'Agostino</name><name sortKey="Easter, D W" sort="Easter, D W" uniqKey="Easter D" first="D W" last="Easter">D W Easter</name><name sortKey="Moossa, A R" sort="Moossa, A R" uniqKey="Moossa A" first="A R" last="Moossa">A R Moossa</name><name sortKey="Van Sonnenberg, E" sort="Van Sonnenberg, E" uniqKey="Van Sonnenberg E" first="E" last="Van Sonnenberg">E. Van Sonnenberg</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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