Iarogenic Bile Duct Injuries: Repairs Feasibility

Main Article Content

MS Abdelhamid
TM Nabil
AM Rashad
SS Soliman
TM EL-Gaabary

Abstract

Due to laparoscopic cholecystectomy there is increase in the bile duct injuries. It was 0.2% to 0.4% during open opposed to 0.6% to 0.8% during laparoscopic. Included in the study were 22 patients, 19 patients with two redo operated upon. Between Feb. 1999 to Nov2017 and 3 referral cases. The treatment options were end to end anastomosis and hepaticojejunostomy. Regarding the injuries, according to Stresberg there were 2A .4D injuries with injury in the lateral aspect of the ducts, 8 E1, with hepatic stump > 2cm., 5 E2 with hepatic stump < 2cm. The three referral cases were choledochodoudonostomy E1, and E2. They were treated with si ligation of cystic in two cases, anastomosis in seven cases. The remaining fifteen cases with hepaticojejunostomy .Conclusions: The risk is more proximally. After complex injuries diversion is the best while with simple end to end was acceptable. The insertion of stents has to be individualized according to the situations of each patients and the experience of each surgeon.

Article Details

Abdelhamid, M., Nabil, T., Rashad, A., Soliman, S., & EL-Gaabary, T. (2019). Iarogenic Bile Duct Injuries: Repairs Feasibility. Archives of Surgery and Clinical Research, 3(1), 001–004. https://doi.org/10.29328/journal.ascr.1001023
Research Articles

Copyright (c) 2019 Abdelhamid MS, et al.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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