Management of major bile duct injury associated with laparoscopic cholecystectomy
Bile duct injury is a major complication of laparoscopic cholecystectomy. The purpose of this study was to evaluate our management strategy and outcomes for the treatment of such injuries. We studied 54 consecutive patients who had de novo bile duct injury (n = 20) or prior biliary injury repair (n...
Gespeichert in:
| Veröffentlicht in: | Surgical endoscopy 2001-12, Vol.15 (12), p.1381-1385 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1385 |
|---|---|
| container_issue | 12 |
| container_start_page | 1381 |
| container_title | Surgical endoscopy |
| container_volume | 15 |
| creator | ROBINSON, T. N STIEGMANN, G. V DURHAM, J. D JOHNSON, S. I WACHS, M. E SERRA, A. D KUMPE, D. A |
| description | Bile duct injury is a major complication of laparoscopic cholecystectomy. The purpose of this study was to evaluate our management strategy and outcomes for the treatment of such injuries.
We studied 54 consecutive patients who had de novo bile duct injury (n = 20) or prior biliary injury repair (n = 34) associated with laparoscopic cholecystectomy. All patients were managed using a multidisciplinary approach.
Definitive operation, almost always Roux-en-Y hepaticojejunostomy, was required in 85% of patients. We inserted external percutaneous biliary catheters in 98% of cases prior to surgery. There were no operative deaths, and the 30-day complication rate was 20%. Eight patients (15%) were managed nonoperatively. Overall, 96% of patients had no long-term, objectively definable biliary sequelae.
Treatment of bile duct injury associated with laparoscopic cholecystectomy is optimally done using a multidisciplinary approach. Surgical reconstruction is required in most cases and can be safely accomplished with minimal morbidity and excellent long-term outcomes. |
| doi_str_mv | 10.1007/s00464-001-8156-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_71308052</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>71308052</sourcerecordid><originalsourceid>FETCH-LOGICAL-c327t-bd466d76846eb3a399e552e2d9940842fd6e7e18df584531e820a9ecbee14b6c3</originalsourceid><addsrcrecordid>eNpFkUtLxDAUhYMozvj4AW4kG91Vb55NljL4AkUEXYc0vdUObTM2LdJ_b2UGZnU33zkcvkvIBYMbBpDfJgCpZQbAMsOUzuCALJkUPOOcmUOyBCsg47mVC3KS0hpm3DJ1TBaMWa2kgiV5f_Wd_8IWu4HGirZ-HXta1A3ScgwDrbv12E_UpxRD7Qcs6W89fNPGb3wfU4ibOtDwHRsMUxowDLGdzshR5ZuE57t7Sj4f7j9WT9nL2-Pz6u4lC4LnQ1aUUusy10ZqLIQX1qJSHHlprQQjeVVqzJGZslJGKsHQcPAWQ4HIZKGDOCXX295NH39GTINr6xSwaXyHcUwuZwIMKD6DbAuGeXLqsXKbvm59PzkG7t-j23p0s0f379HBnLnclY9Fi-U-sRM3A1c7wKfgm6r3XajTnhPCcDX_4g_0Gnus</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>71308052</pqid></control><display><type>article</type><title>Management of major bile duct injury associated with laparoscopic cholecystectomy</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>ROBINSON, T. N ; STIEGMANN, G. V ; DURHAM, J. D ; JOHNSON, S. I ; WACHS, M. E ; SERRA, A. D ; KUMPE, D. A</creator><creatorcontrib>ROBINSON, T. N ; STIEGMANN, G. V ; DURHAM, J. D ; JOHNSON, S. I ; WACHS, M. E ; SERRA, A. D ; KUMPE, D. A</creatorcontrib><description>Bile duct injury is a major complication of laparoscopic cholecystectomy. The purpose of this study was to evaluate our management strategy and outcomes for the treatment of such injuries.
We studied 54 consecutive patients who had de novo bile duct injury (n = 20) or prior biliary injury repair (n = 34) associated with laparoscopic cholecystectomy. All patients were managed using a multidisciplinary approach.
Definitive operation, almost always Roux-en-Y hepaticojejunostomy, was required in 85% of patients. We inserted external percutaneous biliary catheters in 98% of cases prior to surgery. There were no operative deaths, and the 30-day complication rate was 20%. Eight patients (15%) were managed nonoperatively. Overall, 96% of patients had no long-term, objectively definable biliary sequelae.
Treatment of bile duct injury associated with laparoscopic cholecystectomy is optimally done using a multidisciplinary approach. Surgical reconstruction is required in most cases and can be safely accomplished with minimal morbidity and excellent long-term outcomes.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-001-8156-0</identifier><identifier>PMID: 11965450</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Adult ; Aged ; Anastomosis, Roux-en-Y - methods ; Biological and medical sciences ; Cholecystectomy, Laparoscopic - adverse effects ; Common Bile Duct - injuries ; Common Bile Duct - surgery ; Female ; Humans ; Intraoperative Complications - surgery ; Jejunostomy - methods ; 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</subject><ispartof>Surgical endoscopy, 2001-12, Vol.15 (12), p.1381-1385</ispartof><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c327t-bd466d76846eb3a399e552e2d9940842fd6e7e18df584531e820a9ecbee14b6c3</citedby><cites>FETCH-LOGICAL-c327t-bd466d76846eb3a399e552e2d9940842fd6e7e18df584531e820a9ecbee14b6c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13382514$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11965450$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ROBINSON, T. N</creatorcontrib><creatorcontrib>STIEGMANN, G. V</creatorcontrib><creatorcontrib>DURHAM, J. D</creatorcontrib><creatorcontrib>JOHNSON, S. I</creatorcontrib><creatorcontrib>WACHS, M. E</creatorcontrib><creatorcontrib>SERRA, A. D</creatorcontrib><creatorcontrib>KUMPE, D. A</creatorcontrib><title>Management of major bile duct injury associated with laparoscopic cholecystectomy</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><description>Bile duct injury is a major complication of laparoscopic cholecystectomy. The purpose of this study was to evaluate our management strategy and outcomes for the treatment of such injuries.
We studied 54 consecutive patients who had de novo bile duct injury (n = 20) or prior biliary injury repair (n = 34) associated with laparoscopic cholecystectomy. All patients were managed using a multidisciplinary approach.
Definitive operation, almost always Roux-en-Y hepaticojejunostomy, was required in 85% of patients. We inserted external percutaneous biliary catheters in 98% of cases prior to surgery. There were no operative deaths, and the 30-day complication rate was 20%. Eight patients (15%) were managed nonoperatively. Overall, 96% of patients had no long-term, objectively definable biliary sequelae.
Treatment of bile duct injury associated with laparoscopic cholecystectomy is optimally done using a multidisciplinary approach. Surgical reconstruction is required in most cases and can be safely accomplished with minimal morbidity and excellent long-term outcomes.</description><subject>Adult</subject><subject>Aged</subject><subject>Anastomosis, Roux-en-Y - methods</subject><subject>Biological and medical sciences</subject><subject>Cholecystectomy, Laparoscopic - adverse effects</subject><subject>Common Bile Duct - injuries</subject><subject>Common Bile Duct - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Intraoperative Complications - surgery</subject><subject>Jejunostomy - methods</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkUtLxDAUhYMozvj4AW4kG91Vb55NljL4AkUEXYc0vdUObTM2LdJ_b2UGZnU33zkcvkvIBYMbBpDfJgCpZQbAMsOUzuCALJkUPOOcmUOyBCsg47mVC3KS0hpm3DJ1TBaMWa2kgiV5f_Wd_8IWu4HGirZ-HXta1A3ScgwDrbv12E_UpxRD7Qcs6W89fNPGb3wfU4ibOtDwHRsMUxowDLGdzshR5ZuE57t7Sj4f7j9WT9nL2-Pz6u4lC4LnQ1aUUusy10ZqLIQX1qJSHHlprQQjeVVqzJGZslJGKsHQcPAWQ4HIZKGDOCXX295NH39GTINr6xSwaXyHcUwuZwIMKD6DbAuGeXLqsXKbvm59PzkG7t-j23p0s0f379HBnLnclY9Fi-U-sRM3A1c7wKfgm6r3XajTnhPCcDX_4g_0Gnus</recordid><startdate>20011201</startdate><enddate>20011201</enddate><creator>ROBINSON, T. N</creator><creator>STIEGMANN, G. V</creator><creator>DURHAM, J. D</creator><creator>JOHNSON, S. I</creator><creator>WACHS, M. E</creator><creator>SERRA, A. D</creator><creator>KUMPE, D. A</creator><general>Springer</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20011201</creationdate><title>Management of major bile duct injury associated with laparoscopic cholecystectomy</title><author>ROBINSON, T. N ; STIEGMANN, G. V ; DURHAM, J. D ; JOHNSON, S. I ; WACHS, M. E ; SERRA, A. D ; KUMPE, D. A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c327t-bd466d76846eb3a399e552e2d9940842fd6e7e18df584531e820a9ecbee14b6c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anastomosis, Roux-en-Y - methods</topic><topic>Biological and medical sciences</topic><topic>Cholecystectomy, Laparoscopic - adverse effects</topic><topic>Common Bile Duct - injuries</topic><topic>Common Bile Duct - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Intraoperative Complications - surgery</topic><topic>Jejunostomy - methods</topic><topic>Liver, biliary tract, pancreas, portal circulation, spleen</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ROBINSON, T. N</creatorcontrib><creatorcontrib>STIEGMANN, G. V</creatorcontrib><creatorcontrib>DURHAM, J. D</creatorcontrib><creatorcontrib>JOHNSON, S. I</creatorcontrib><creatorcontrib>WACHS, M. E</creatorcontrib><creatorcontrib>SERRA, A. D</creatorcontrib><creatorcontrib>KUMPE, D. A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ROBINSON, T. N</au><au>STIEGMANN, G. V</au><au>DURHAM, J. D</au><au>JOHNSON, S. I</au><au>WACHS, M. E</au><au>SERRA, A. D</au><au>KUMPE, D. A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of major bile duct injury associated with laparoscopic cholecystectomy</atitle><jtitle>Surgical endoscopy</jtitle><addtitle>Surg Endosc</addtitle><date>2001-12-01</date><risdate>2001</risdate><volume>15</volume><issue>12</issue><spage>1381</spage><epage>1385</epage><pages>1381-1385</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Bile duct injury is a major complication of laparoscopic cholecystectomy. The purpose of this study was to evaluate our management strategy and outcomes for the treatment of such injuries.
We studied 54 consecutive patients who had de novo bile duct injury (n = 20) or prior biliary injury repair (n = 34) associated with laparoscopic cholecystectomy. All patients were managed using a multidisciplinary approach.
Definitive operation, almost always Roux-en-Y hepaticojejunostomy, was required in 85% of patients. We inserted external percutaneous biliary catheters in 98% of cases prior to surgery. There were no operative deaths, and the 30-day complication rate was 20%. Eight patients (15%) were managed nonoperatively. Overall, 96% of patients had no long-term, objectively definable biliary sequelae.
Treatment of bile duct injury associated with laparoscopic cholecystectomy is optimally done using a multidisciplinary approach. Surgical reconstruction is required in most cases and can be safely accomplished with minimal morbidity and excellent long-term outcomes.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>11965450</pmid><doi>10.1007/s00464-001-8156-0</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0930-2794 |
| ispartof | Surgical endoscopy, 2001-12, Vol.15 (12), p.1381-1385 |
| issn | 0930-2794 1432-2218 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_71308052 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Anastomosis, Roux-en-Y - methods Biological and medical sciences Cholecystectomy, Laparoscopic - adverse effects Common Bile Duct - injuries Common Bile Duct - surgery Female Humans Intraoperative Complications - surgery Jejunostomy - methods 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 |
| title | Management of major bile duct injury associated with laparoscopic cholecystectomy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-13T01%3A49%3A20IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Management%20of%20major%20bile%20duct%20injury%20associated%20with%20laparoscopic%20cholecystectomy&rft.jtitle=Surgical%20endoscopy&rft.au=ROBINSON,%20T.%20N&rft.date=2001-12-01&rft.volume=15&rft.issue=12&rft.spage=1381&rft.epage=1385&rft.pages=1381-1385&rft.issn=0930-2794&rft.eissn=1432-2218&rft.coden=SUREEX&rft_id=info:doi/10.1007/s00464-001-8156-0&rft_dat=%3Cproquest_cross%3E71308052%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=71308052&rft_id=info:pmid/11965450&rfr_iscdi=true |