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ID 31585
JaLCDOI
フルテキストURL
著者
Kurose, Masao Okayama Central Hospital
Hakazaki, Keisuke Okayama University
Matsuoka, Junji Okayama Central Hospital
Takai, Kenichi Okayama Central Hospital
Kaneshige, Tetsuzo Okayama Central Hospital
Moreira, Luis Fernando Okayama University
Mimura, Hisashi Okayama University
Orita, Kunzo Okayama University
抄録

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.

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
47巻
5号
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
Web of Sience KeyUT