[Rupture of the low thoracic ophagus after blunt trauma]

Closed traumatic rupture of the esophagus is uncommon. Early diagnosis and effective treatment are necessary to avoid death or serious illness. We report a case of a low thoracic rupture after blunt trauma diagnosed at the stage of esophago pleural fistula and mediastinal collection. The patient underwent a bipolar - exclusion of the esophagus. The digestive continuity was restored by a retrosternal coloplasty and an oesophagectomy was performed afterwards. The postoperative course was uneventful and the patient was in a good health three years after operation

[Traumatisms of the pricipal bile duct during laparoscopic cholecystectomies]

Laparoscopic cholecystecmy is the preferred method for removing the Gall bladder. The most frequent intro-operative complications are by for related to the biliary tract: wounds, section. From September 1995 to August 2001, the authors have realized 1570 cases of laparoscopic cholecystectomy. There were 3 lesions of the common bile duct. Most of those complications are directly proportional to the operators experience. Their prevention depends on a perfect technics, understanding of the mechanisms and no hesitation in converting to conventional laparotomy whenever difficulties are encountered