Surgical therapy of iatrogenic lesions of biliary tract

Steven A. Ahrendt, Henry A. Pitt

Research output: Contribution to journalArticle

Abstract

Iatrogenic injuries of the biliary tract have increased in incidence over the past decade with the introduction of laparoscopic cholecystectomy. Although a number of factors have been identified with a higher risk of injury (male gender, complicated gallstone disease, aberrant anatomy) and a number of technical steps have been emphasized to avoid these injuries, the incidence of bile duct injuries has reached a steady-state at least double the rate observed with open cholecystectomy. Most patients sustaining a bile duct injury are recognized in the weeks following laparoscopic cholecystectomy. Careful preoperative preparation should include control of sepsis by draining any bile collections or fistulas and complete cholangiography. Long-term results are best achieved in specialized hepatobiliary centers performing biliary reconstruction with a Roux-en-Y hepaticojejunostomy. Success rates over 90% have been reported from several centers to date with intermediate follow-up.

Original languageEnglish (US)
Pages (from-to)1360-1365
Number of pages6
JournalWorld Journal of Surgery
Volume25
Issue number10
DOIs
StatePublished - 2001
Externally publishedYes

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Biliary Tract
Wounds and Injuries
Laparoscopic Cholecystectomy
Bile Ducts
Therapeutics
Cholangiography
Incidence
Cholecystectomy
Gallstones
Bile
Fistula
Anatomy
Sepsis

ASJC Scopus subject areas

  • Surgery

Cite this

Surgical therapy of iatrogenic lesions of biliary tract. / Ahrendt, Steven A.; Pitt, Henry A.

In: World Journal of Surgery, Vol. 25, No. 10, 2001, p. 1360-1365.

Research output: Contribution to journalArticle

Ahrendt, Steven A. ; Pitt, Henry A. / Surgical therapy of iatrogenic lesions of biliary tract. In: World Journal of Surgery. 2001 ; Vol. 25, No. 10. pp. 1360-1365.
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