AIM <\/b>of the study was to analyse bile duct injuries (BDI): diagnostics, treatment methods and outcome after laparoscopic cholecystectomy (LC).<\/p>\n
METHODS. <\/b>Seventeen patients who sustained BDI after 1454 LC were treated in 2005- 2007 and analysed retrospectively according to the Amsterdam criteria.<\/p>\n
RESULTS. <\/b>Mild BDI, bile leakage from the minor bile ducts, occur red in 10 (0.7%) cases: in the treatment of biliomas, percutaneous drainage under US guidance was used inmost cases . In 4 cases endoscopic retrograde cholangiography and sphincterotomy (in 1 case also stenting) were performed. Long-term results after a median of 28 months were good or\u00a0 excellent in all cases. There were 7 (0.5%) severe injuries. Four patients had major BDI with bile leakage and all of them were laparotomised: in one of them the injury was sutured and another underwent elective hepaticojejunostomy (HJS) 3 months later; 2 patients died following laparotomy. In 3 patients major bile duct transection was detected during LC and they underwent conversion and HJS. Two patients required repeat HJS later. Follow-up results for 5 patients following severe BDI after a median of 27 months are satisfactory (4 cases) and good (1 case).<\/p>\n
CONCLUSION. <\/b>It is important to avoid severe injuries because, as a rule, they require surgical treatment including repeat operations and may result in lethality.<\/p>\n","protected":false},"excerpt":{"rendered":"
AIM of the study was to analyse bile duct injuries (BDI): diagnostics, treatment methods and outcome after laparoscopic cholecystectomy (LC). METHODS. Seventeen patients who sustained BDI after 1454 LC were treated in 2005- 2007 and analysed retrospectively according to the Amsterdam criteria. RESULTS. Mild BDI, bile leakage from the minor bile ducts, occur red in …<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[1540],"class_list":["post-5526","post","type-post","status-publish","format-standard","hentry","category-articles","tag-research","authors-ants-peetsalu-en","authors-margot-peetsalu-en","authors-pille-kirjanen-en","authors-tiina-adams-en","authors-ulle-kirsimagi-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/posts\/5526","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/comments?post=5526"}],"version-history":[{"count":1,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/posts\/5526\/revisions"}],"predecessor-version":[{"id":5527,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/posts\/5526\/revisions\/5527"}],"wp:attachment":[{"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/media?parent=5526"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/categories?post=5526"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/tags?post=5526"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}