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- W2894745899 abstract "Introduction: Bile duct injuries (BDIs) still occur during laparoscopic cholecystectomy. We would like to present our 15 years' experience in the management of BDIs, evaluate our results of treatment. Methods: Medical records of 67 patients who have experienced BDIs after laparoscopic cholecystectomy were retrospectively reviewed. All injures were classified according to European Association for Endoscopic Surgery ATOM (anatomic, time of detection, mechanism) classification and investigated by manifestation of the injury, surgical repair technique, early and late complications. Results: In 28 (41,8 %) patients the surgical treatment of BDI was completed with ERCP and stenting, in 14 (20, 1%) cases defect of bile duct was closed by suture, end-to-end ductal anastomosis was performed for 6 (13,4%) patients and hepaticojejunostomy in 19 (28,3%) patients. Morbidity and mortality after surgical repair of bile duct injury according to Clavien Dindo classification was: I - 2 (3%), II - 1 (1,5%), III - 61 (91%) and mortality - V - 4 (6%). We followed up 58 patients (92.1%) of 63. Mean follow-up duration was 25,7±36,7 months. In late postoperative time 23 (39,7%) patients developed bile duct strictures. Therefore, 13 (56,5%) patients underwent restenting or balloon dilatation and 10 (43,5%) patients underwent hepaticojejunostomy. Conclusions: Endoscopic retrograde cholangiopancreatography (ERCP) is the main diagnostic tool for suspected injuries. Stenting with a covered self-expanding metal stent is a promising method for the patients with partial divisions or strictures of bile ducts. Both hepaticojejunostomy and end-to-end anastomosis showed good results while treating complete divisions of ducts." @default.
- W2894745899 created "2018-10-12" @default.
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- W2894745899 date "2018-09-01" @default.
- W2894745899 modified "2023-09-30" @default.
- W2894745899 title "Postcholecystectomy bile duct injuries: diagnostics and surgical treatment" @default.
- W2894745899 doi "https://doi.org/10.1016/j.hpb.2018.06.1435" @default.
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