Two cases of biliary tract serious lesions during videolaparoscopic cholecystectomy are reported. In the first case of lithiasic cholecystitis there had been a complete damage of the common biliary duct; in the second case there had been a double main biliary duct binding with removal of a biliary tract segment. In both cases a biliary confluence-jejunal anastomosis with Roux-en-Y loop was made up. In the first one the operation was difficult because of the main bile duct's fragility and modest expansion. In the second one the presence of a secondary biliary duct in gallbladder fossa not recognized, but drained outside with a common drainage placed during the operation prevented appearance of jaundice with dilatation of biliary ducts. It was heavily conditioned performing confluence-jejunal anastomosis with Roux-en-Y loop. The post-operative course was characterized by appearance of an external biliary fistula which has spontaneously disappeared. One year later, neither of the two patients had any stenosis or cholangitis problems.

Iatrogenic injury in videolaparoscopic cholecystectomy : difficult surgical correction biliary tract / S. Bressani Doldi, M. Marinoni, E. Mozzi, F. Longoni, M. A. Zappa. - In: HEPATO-GASTROENTEROLOGY. - ISSN 0172-6390. - 46:27(1999), pp. 1631-1633.

Iatrogenic injury in videolaparoscopic cholecystectomy : difficult surgical correction biliary tract

S. Bressani Doldi
Primo
;
E. Mozzi;
1999

Abstract

Two cases of biliary tract serious lesions during videolaparoscopic cholecystectomy are reported. In the first case of lithiasic cholecystitis there had been a complete damage of the common biliary duct; in the second case there had been a double main biliary duct binding with removal of a biliary tract segment. In both cases a biliary confluence-jejunal anastomosis with Roux-en-Y loop was made up. In the first one the operation was difficult because of the main bile duct's fragility and modest expansion. In the second one the presence of a secondary biliary duct in gallbladder fossa not recognized, but drained outside with a common drainage placed during the operation prevented appearance of jaundice with dilatation of biliary ducts. It was heavily conditioned performing confluence-jejunal anastomosis with Roux-en-Y loop. The post-operative course was characterized by appearance of an external biliary fistula which has spontaneously disappeared. One year later, neither of the two patients had any stenosis or cholangitis problems.
Video Recording ; Postcholecystectomy Syndrome ; Iatrogenic Disease ; Humans ; Reoperation ; Jejunostomy ; Cholecystectomy ; Laparoscopic ; Bile Ducts ; Extrahepatic ; Adult ; Common Bile Duct ; Surgical Instruments ; Middle Aged ; Anastomosis ; Roux-en-Y ; Female ; Hepatic Duct ; Common ; Male
Settore MED/18 - Chirurgia Generale
1999
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/163443
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