An: 2014, Nr.4, Articol Nr. 18
PEROPERATIVE IATROGENIC BILE DUCT INJURIES IN LAPAROSCOPIC CHOLECYSTECTOMY
M. Moraru - University of Medicine and Pharmacy “Gr. T. Popa”, Iaşi, Department of Morphological Sciences, Discipline of Anatomy; University Emergency Hospital “Sf. Spiridon”, Iaşi, General Surgery
Nadia Aladari - University of Medicine and Pharmacy “Gr. T. Popa”, Iaşi, PhD student
PEROPERATIVE IATROGENIC BILE DUCT INJURIES IN LAPAROSCOPIC CHOLECYSTECTOMY (Abstract): The authors have analysed a number of 220 patients who underwent laparoscopic cholecystectomy between May 2008 - May 2013 at the 1st Surgical Clinic, “Sf. Spiridon” University Hospital. Peroperative iatrogenic lesions of the common bile duct occurred in 7 cases. In 3 out of the 7 cases, surgical intraoperative exploration was necessary in order to establish immediately the diagnosis. Laparotomy for corrective surgery was required in all cases. There were practiced end-to-end anastomosis with Kehr T tube in total bile duct sections (4 cases) and placement of a probe Kehr T tube in partial injuries (3 cases). In all of the 7 cases a Penrose drain was placed into the subhepatic space. The postoperatory evolution was favourable with no subsequently mortalities.
Key words: IATROGENIC LESIONS, LAPAROSCOPIC COLECISTECTOMY, COMMON BILE DUCT