Abstract
The proper diagnosis and appropriate treatment are paramount in ensuring a satisfactory outcome after a bile duct injury associated with laparoscopic cholecystectomy. Immediate recognition of a bile duct injury during laparoscopic cholecystectomy can allow proper treatment at that time, averting difficult complications that could occur in the postoperative period should the injury be missed. Unfortunately, most bile duct injuries are not recognized at the time of laparoscopic cholecystectomy. An appropriate level of suspicion followed by prompt and complete evaluation should result in accurate delineation of the biliary anatomy, which is essential for directing appropriate surgical reconstruction.
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Branum G, Schmitt C, Baillie J, et al (1993) Management of major biliary complications after laparoscopic cholecystectomy. Ann Surg 217: 532–541
Deziel DJ, Millikan KW, Economou SG, et al (1993) Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases. Am J Surg 165: 9–14
Lillemoe KD, Melton GB, Cameron JL, et al. (2000) Postoperative bile duct strictures: management and outcome in the 1990s. Ann Surg 430–441
Sicklick JK, Camp MS, Lillemoe KD, et al (2005) Surgical management of bile duct injuries during laparoscopic cholecystomy: perioperative results in 200 patients. Ann Surg; 241: 786–795
Stewart L, Way LW (1995) Bile duct injuries during laparoscopic cholecystectomy. Arch Surg; 130: 1123–1129
Strasberg SM, Hertl M, Soper NJ (1995) An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg; 180: 101–125
Wherry DC, Marohn MR, Malanoski MP, et al (1996) An external audit of laparoscopic cholecystectomy in the steady state performed in medical treatment facilities of the Department of Defense. Ann Surg 224: 145–154
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Presented at the American Hepatic Pancreatico Bilary Association/Society of American Gastrointestinal and Endoscopic Surgeons (AHPBA/SAGES) Joint Symposium: Biliary Injury, Fort Lauderdale, Florida, April 2005
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Lillemoe, K.D. Evaluation of suspected bile duct injuries. Surg Endosc 20, 1638–1643 (2006). https://doi.org/10.1007/s00464-006-0489-2
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DOI: https://doi.org/10.1007/s00464-006-0489-2