Damage to extrahepatic bile ducts during laparoscopic cholecystectomy--own experience.

Med Sci Monit

Department of General, Oncological and Thoracic Surgery, Central Military Hospital, Warsaw, Poland.

Published: May 2001

In the years 1991-2000, 6873 patients were operated at the Department of General, Oncological and Thoracic Surgery in Central Medical Hospital in Warsaw, due to cholecystolithiasis. Extrahepatic bile ducts were damaged in 9 patients. These lesions included: pointed damage with electrocoagulation, bile duct incision or sectioning and the resection of the main stem of bile duct. In 7 patients, the lesions were diagnoses intraoperatively and the conversion was performed. Two patients required laparotomy at later stage. As complications developed, some patients required relaparotomy. Two patients died due to multiorgan failure. The injury of extrahepatic bile ducts remains a dangerous, potentially life-threatening complication of cholecystectomy, irrespective of the operative technique applied.

Download full-text PDF

Source

Publication Analysis

Top Keywords

extrahepatic bile
12
bile ducts
12
patients lesions
8
bile duct
8
patients required
8
patients
6
bile
5
damage extrahepatic
4
ducts laparoscopic
4
laparoscopic cholecystectomy--own
4

Similar Publications

Genetics of biliary atresia: Approaches, pathological insights and challenges.

Semin Pediatr Surg

January 2025

Department of Surgery, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China; Dr Li Dak-Sum Research Centre, The University of Hong Kong - Karolinska Institutet Collaboration in Regenerative Medicine, Hong Kong, China. Electronic address:

Biliary atresia (BA) is a severe neonatal cholestatic disorder marked by fibro-obliteration of the extrahepatic and intrahepatic bile ducts. It is the most common cause of pediatric end-stage liver disease and the leading indication for liver transplantation in children. There is significant heterogeneity in the etiology, involving various genetic and environmental factors such as viral infection, immune dysregulation and genetic predisposition to defective hepatobiliary development.

View Article and Find Full Text PDF

Laparoscopic cholecystectomy for acute cholecystitis carries an increased risk of biliovascular injuries. Fluorescence cholangiography (FC) is a valuable diagnostic tool for identifying extrahepatic bile ducts (EHBD). The objective of this study was to evaluate the efficacy of FC in delineating EHBD anatomy, both before and after dissection, based on the critical view of safety (CVS) principles.

View Article and Find Full Text PDF

. Lymph Node Ratio (LNR) is increasingly recognized as an important prognostic factor in various cancer types, with the potential to enhance patient stratification for intrahepatic (ICC) and extrahepatic (ECC) cholangiocarcinoma. The study aimed to assess the impact of LNR on survival in surgically resected patients with ICC and ECC.

View Article and Find Full Text PDF

Cholecystogastric fistula presenting as pyloric obstruction - a Bouveret's syndrome: A case report.

World J Gastrointest Endosc

January 2025

Department of Gastroenterology, Affiliated Jinhua Hospital of Wenzhou Medical University, Jinhua People's Hospital, Jinhua 321000, Zhejiang Province, China.

Background: Bouveret's syndrome is a rare (1%-4%) form of cholelithiasis characterized by gastric outlet obstruction. It presents mainly in elderly women with nausea, vomiting, and abdominal pain. On physical examination, common findings include dehydration signs such as tachycardia, decreased urine output, abdominal discomfort, and distention.

View Article and Find Full Text PDF

Choledochal cysts (CCs) are rare cystic dilations of the intrahepatic and/or extrahepatic bile ducts. Malignancies arising during follow-up after excision of CCs have been reported in both children and adults, with no typical time frame for malignancy development. We present a case of a patient diagnosed with CCs 36 years ago, who underwent resection and subsequently developed cancer.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!