Bile duct injuries in the laparoscopic era: the University Hospital of the West Indies experience / Lesiones de la vía Biliar en la Era Laparoscópica: la Experiencia del HUWI
West Indian med. j
;
55(4): 228-231, Sept. 2006.
Article
Dans Anglais
| LILACS
| ID: lil-472124
ABSTRACT
During the ten-year period July 1994 to June 2004, 20 patients were seen with iatrogenic bile duct injuries. The case notes of these patients were reviewed. Half of the patients were referred after initial surgery at other hospitals. At the University Hospital of the West Indies, bile duct injury rate was 0.8and 1for open and laparoscopic cholecystectomy respectively. Sixty per cent of patients' injuries resulted from open cholecystectomy and the majority of these were during emergency cholecystectomies for acute cholecystitis. A wide range of treatment modalities were employed for patients with minor bile duct injuries but Roux en Y hepaticojejunostomy was the treatment of choice for patients with transection of the common hepatic or bile duct. Follow-up was available in seven of nine patients who had major bile duct injury repair to a median of 36 months and all but one were asymptomatic and had normal liver function tests. There were two deaths because of septic complications.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Conduits biliaires
/
Cholécystectomie laparoscopique
/
Maladie iatrogène
/
Complications peropératoires
Type d'étude:
Etude d'étiologie
/
Étude observationnelle
/
Facteurs de risque
Limites du sujet:
Humains
Pays comme sujet:
Caraïbes
langue:
Anglais
Texte intégral:
West Indian med. j
Thème du journal:
Médicament
Année:
2006
Type:
Article
Pays d'affiliation:
Jamaïque
Institution/Pays d'affiliation:
The University of the West Indies/JM
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