Laparoscopic injuries to the bile duct : a cause for concern

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 me...

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Bibliographic Details
Published in:Annals of surgery 1992-03, Vol.215 (3), p.203-208
Main Authors: MOOSSA, A. R, EASTER, D. W, VAN SONNENBERG, E, CASOLA, G, D'AGOSTINO, H
Format: Article
Language:English
Subjects:
Adult
Aged
Bile Ducts - injuries
Bile Ducts - surgery
Biological and medical sciences
Cholangiography
Cholecystectomy - adverse effects
Female
Humans
Intraoperative Complications
Laparoscopy - adverse effects
Liver, biliary tract, pancreas, portal circulation, spleen
Male
Medical sciences
Middle Aged
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
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Summary: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.
ISSN:0003-4932
1528-1140
DOI:10.1097/00000658-199203000-00003