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Biliary Complications Post Laparoscopic Cholecystectomy : Mechanism, Preventive Measures, and Approach to Management: A Review
Author
Source
Diagnostic and Therapeutic Endoscopy
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-06-12
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Laparoscopic cholecystectomy has emerged as a gold standard therapeutic option for the management of symptomatic cholelithiasis.
However, adaptation of LC is associated with increased risk of complications, particularly bile duct injury ranging from 0.3 to 0.6%.
Occurrence of BDI results in difficult reconstruction, prolonged hospitalization, and high risk of long-term complications.
Therefore, more emphasis is placed on preventing these complications.
In addition to adequate training, several techniques have been proposed to prevent bile duct injury including use of 30∘ scope, adequate delineation of structures in Calot's triangle (critical view), avoidance of diathermy close to common hepatic duct, and intraoperative cholangiogram, and to maintain a low threshold to conversion to open approach when uncertain.
Management of Bile duct injury depends on the nature of injury, time of detection, and the expertise available, and would range from simple subhepatic drainage to Roux-en-Y hepaticojejunostomy particularly performed at specialised centers.
This article based on the literature review aims to review the biliary complications following laparoscopic cholecystectomy with reference to its mechanism , preventive measures to be taken, and the management approach.
American Psychological Association (APA)
Oneil Machado, Norman. 2011. Biliary Complications Post Laparoscopic Cholecystectomy : Mechanism, Preventive Measures, and Approach to Management: A Review. Diagnostic and Therapeutic Endoscopy،Vol. 2011, no. 2011, pp.1-9.
https://search.emarefa.net/detail/BIM-512093
Modern Language Association (MLA)
Oneil Machado, Norman. Biliary Complications Post Laparoscopic Cholecystectomy : Mechanism, Preventive Measures, and Approach to Management: A Review. Diagnostic and Therapeutic Endoscopy No. 2011 (2011), pp.1-9.
https://search.emarefa.net/detail/BIM-512093
American Medical Association (AMA)
Oneil Machado, Norman. Biliary Complications Post Laparoscopic Cholecystectomy : Mechanism, Preventive Measures, and Approach to Management: A Review. Diagnostic and Therapeutic Endoscopy. 2011. Vol. 2011, no. 2011, pp.1-9.
https://search.emarefa.net/detail/BIM-512093
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-512093