Nontraumatic Perforation of the Bile Duct Treated with Laparoscopic Surgery

2005 ◽  
Vol 15 (3) ◽  
pp. 329-332 ◽  
Author(s):  
Hyeon Kook Lee ◽  
Ho-Seong Han ◽  
Joo-Ho Lee ◽  
Seog Ki Min
Keyword(s):  
Laparoscopic Surgery ◽  
Bile Duct ◽  
Nontraumatic Perforation

scholarly journals Abordaje laparoscópico sistemático de la coledocolitiasis

2021 ◽  
Vol 113 (1) ◽  
pp. 62-72
Author(s):  
Carlos M. Canullán ◽  
◽  
Enrique J. Petracchi ◽  
Nicolás Baglietto ◽  
Hugo I. Zandalazini ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Preoperative Diagnosis ◽  
Length Of Hospital Stay ◽  
Common Bile Duct Stones ◽  
Single Stage ◽  
Bile Duct Stones ◽  
Bile Duct Injuries ◽  
Transcystic Approach

Background: The prevalence of common bile duct stones associated with cholelithiasis increases with age and is about 15 % in the 8th decade of life but its management is still controversial. Some surgeons prefer the single-stage approach with laparoscopy while others suggest the two-stage management with preoperative endoscopic retrograde cholangiopancreatography (ERCP) followed by laparoscopic cholecystectomy. Objective: The aim of the present study was to evaluate the efficacy of feasibility of single-stage laparoscopic surgery in patients with cholelithiasis and choledocholithiasis. Material and methods: We conducted a retrospective study with prospectively collected data between July 2008 and July 2018. Results: Of 2447 laparoscopic cholecystectomies performed during the study period, 416 presented common bile duct stones. The global success of the transcystic approach to clear common bile duct stones was 81.2%, 70.4% in the cases with preoperative diagnosis of choledocholithiasis and 92.9% for other diagnoses. The rate of complications was 4% without deaths or bile duct injuries. Conclusion: Single-stage laparoscopic surgery is an efficient and safe approach based on the high global success of transcystic exploration. The preoperative diagnosis of choledocholithiasis reduces the efficacy of the procedure due to greater indication of choledocotomy, with complications and longer length of hospital stay.

scholarly journals A Successful Model for Laparoscopic Training in Mongolia

2013 ◽  
Vol 97 (4) ◽  
pp. 363-371 ◽  
Author(s):  
Gabriela Vargas ◽  
Raymond R. Price ◽  
Orgoi Sergelen ◽  
Byadran Lkhagvabayar ◽  
Pandaan Batcholuun ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Laparoscopic Surgery ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Gallbladder Disease ◽  
Operating Experience ◽  
Medical Community ◽  
Duodenal Injury ◽  
Common Bile Duct Injury ◽  
Successful Model

Abstract The benefits of laparoscopic surgery have not been available to the majority of Mongolians. Mongolian surgical leaders requested assistance in expanding laparoscopy. A capacity-building approach for teaching laparoscopic cholecystectomy throughout Mongolia is reviewed. A laparoscopic cholecystectomy training program was developed. The program included a didactic course and an intensive 2-week practical operating experience. Courses were taught in Ulaanbataar and at 3 of the 4 regional diagnostic referral and treatment centers from 2006 to 2010. During this training period, a total of 303 teaching laparoscopic cholecystectomies were performed. There was one common bile duct injury and one duodenal injury. The conversion rate was 2.0%. This program has been successful in creating a self-sustaining practice of training. The traditional surgical approach to gallbladder disease in Mongolia has been challenged and has, in turn, been a stimulus for improvement in the medical community.

scholarly journals Migration of non-absorbable polymer clips in hepato-biliary-pancreatic surgery: a report of four cases

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Yukari Kihara ◽  
Yutaka Takeda ◽  
Yoshiaki Ohmura ◽  
Yoshiteru Katsura ◽  
Go Shinke ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Bile Duct ◽  
Pancreatic Surgery ◽  
Epigastric Pain ◽  
Intrahepatic Bile Duct ◽  
Duodenal Bulb ◽  
Upper Gastrointestinal Endoscopy ◽  
Duct Cyst ◽  
Bile Duct Stenosis

Abstract Background Ligation clips are used for vessel or tissue ligation in surgery. Although previous reports have described the migration of metallic clips after hepato-biliary-pancreatic surgery, very few reports have described the migration of non-absorbable polymer clips (NAPCs: Hem-o-Lok). Case presentation We present 4 cases of NAPC migration that occurred after laparoscopic surgery. Case 1 was an 81-year-old woman that had undergone a laparoscopic right hemihepatectomy for an intrahepatic bile duct cyst adenocarcinoma at the age of 79 years. Two years after the operation, she underwent an upper gastrointestinal endoscopy to investigate epigastric pain. The endoscopy showed NAPCs lodged at the anterior side of the duodenal bulb. Case 2 was an 80-year-old man that had undergone a laparoscopic cholecystectomy for choledocholithiasis at the age of 77 years. Three years after the operation, follow-up computed tomography and magnetic resonance cholangiopancreatography (MRCP) imaging indicated a mass in the upper bile duct. After a laparoscopic bile duct resection and reconstruction, an NAPC was found inside the inflammatory pseudotumor. Case 3 was a 63-year-old man that had undergone laparoscopic liver S4b and S5 resections and lymph node dissection for gallbladder cancer. Three months after the operation, follow-up MRCP imaging suggested a bile duct stenosis. An endoscopic retrograde cholangiopancreatography (ERCP) was performed, and an NAPC was found inside the bile duct. Case 4 was a 74-year-old man that had undergone a laparoscopic S5 segmentectomy, S7 partial liver resection, and cholecystectomy for liver metastasis of lung cancer and cholelithiasis. A trans-cystic drainage tube was inserted, and it was ligated and fixed with NAPCs. Three months after the operation, follow-up MRCP imaging showed common bile duct stones (CBDS). An ERCP was performed, and two NAPCs were found with the CBDS. Conclusions Few previous reports have described complications due to NAPC migration after hepato-biliary-pancreatic surgery. However, with the widespread use of NAPC, postoperative complications due to NAPC migration are expected to increase in the near future. The differential diagnosis of complications should include potential NAPC migration in patients that have undergone laparoscopic surgery.

scholarly journals Nontraumatic Perforation of the Bile Duct in Adults

2004 ◽  
Vol 139 (10) ◽  
pp. 1083 ◽  
Author(s):  
Sung-Bum Kang ◽  
Ho-Seong Han ◽  
Seog Ki Min ◽  
Hyeon Kook Lee
Keyword(s):  
Bile Duct ◽  
Nontraumatic Perforation

scholarly journals Effectiveness of Laparoscopic Surgery for Gallstones and Common Bile Duct Lithiasis: a Systematic Overview

2010 ◽  
Vol 28 (3) ◽  
Author(s):  
Carlos Manterola ◽  
Viviana Pineda ◽  
Montserrat Tort ◽  
Eduardo Targarona ◽  
Román Villegas Portero ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Systematic Overview

scholarly journals Innovation of endoscopic management in difficult common bile duct stone in the era of laparoscopic surgery

2021 ◽  
Vol 13 (7) ◽  
pp. 198-209
Author(s):  
Cosmas Rinaldi Adithya Lesmana ◽  
Maria Satya Paramitha ◽  
Laurentius Adrianto Lesmana
Keyword(s):  
Laparoscopic Surgery ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
Endoscopic Management

scholarly journals Application of “three lines and one plane” as anatomic landmarks in laparoscopic surgery for bile duct stones

Medicine ◽  
2018 ◽  
Vol 97 (16) ◽  
pp. e0155
Author(s):  
Lei Wang ◽  
Dachen Zhou ◽  
Hui Hou ◽  
Chunli Wu ◽  
Xiaoping Geng
Keyword(s):  
Laparoscopic Surgery ◽  
Bile Duct ◽  
Bile Duct Stones ◽  
Anatomic Landmarks
Sign in / Sign up

Export Citation Format

Share Document