期刊
SURGICAL CLINICS OF NORTH AMERICA
卷 94, 期 2, 页码 297-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.suc.2014.01.008
关键词
Bile duct injury; Biliary stricture; Laparoscopic cholecystectomy; Management; Biliary-enteric anastomosis
类别
Because it offers several advantages over open cholecystectomy, laparoscopic cholecystectomy has largely replaced open cholecystectomy for the management of symptomatic gallstone disease. The only potential disadvantage is a higher incidence of major bile duct injury. Although prevention of these biliary injuries is ideal, when they do occur, early identification and appropriate treatment are critical to improving the outcomes of patients suffering a major bile duct injury. This report delineates the key factors in classification (and its relationship to mechanism and management), identification (intraoperative and postoperative), and management principles of these bile duct injuries.
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