Biliary duct injuries in the laparoscopic era: our experience

De Werra, Carlo and Del Giudice, R. and Di Micco, Rosa and Aloia, Sergio and Bracciano, L. and Cervotti, M. and Galloro, Giuseppe and Bucci, Luigi (2013) Biliary duct injuries in the laparoscopic era: our experience. Il giornale di chirurgia, 34 (3). pp. 59-63. ISSN 1971-145X

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Abstract

Aim. The main aim of our study is to evaluate the incidence, the type, the causes and the therapy of biliary duct injuries which occurred after the video laparoscopic cholecystectomies performed in our Department during the period from 1990 to 2012. Patients and methods. A retrospective analysis of 1186 VLC has been made in our Department from March 1990 to June 2012. Before the cholecystectomy all patient were evaluated with trans abdominal echography. Beyond the incidence of BDI was evaluated damaging mechanism, etiology, therapy and time of diagnosis. Results. From 1990 to 2012 a total of 9 BDIs occurred, with an incidence of 0,75%. Out of 9 patients 4 had major lesions and 5 had minor lesions; the most common BDI was Strasberg A (45%), the most common etiology was the presence of anatomical variations. In four cases the diagnosis has been intraoperative, in five cases has been postoperative. Conclusions. Our clinical experience shows that the main cause of BDI are the surgeon experience and the bile ducts anatomical variation.

Item Type:	Article
Uncontrolled Keywords:	Bile duct injuries, Laparoscopic cholecystectomy, Bile duct anomalies
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Nadia Del Gobbo
Date Deposited:	27 Oct 2016 08:39
Last Modified:	27 Oct 2016 08:39
URI:	http://eprints.bice.rm.cnr.it/id/eprint/8378

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