JaLCDOI 10.18926/AMO/31585
フルテキストURL fulltext.pdf
著者 Kurose, Masao| Hakazaki, Keisuke| Matsuoka, Junji| Takai, Kenichi| Kaneshige, Tetsuzo| Moreira, Luis Fernando| Mimura, Hisashi| Orita, Kunzo|
抄録 <p>Bile duct injury can occur more frequently during laparoscopic cholecystectomy than in open cholecystectomy. Three cases of common bile or hepatic duct injuries occurred in a series of eighty laparoscopic cholecystectomies; In case 1, the common bile duct was misidentified as the cystic duct. In case 2, bile peritonitis occurred on the fourth postoperative day caused by necrosis of the common hepatic duct involving the cautery surrounding it. In case 3, a bile leak occurred due to an incision at the confluence of the cystic and common duct. Dissection of the cystic duct at the infundibulum of the gallbladder, blunt dissection of the Calot's triangle, the handling of clips with special attention for safety were thought to be necessary in order to lower the risk of bile duct injury. Preoperative endoscopic retrograde cholangiography (ERCP) is recommended to avoid bile duct injury.</p>
キーワード bile duct injury laparoscopic cholecystectomy
Amo Type Article
発行日 1993-10
出版物タイトル Acta Medica Okayama
出版者 Okayama University Medical School
開始ページ 351
終了ページ 353
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 English
論文のバージョン publisher
査読 有り
PubMed ID 8273459
Web of Science KeyUT A1993ME47100010