Treatment of iatrogenic injuries of the main bile duct
Keywords:
bile duct, injuriesAbstract
This series of 41 po·st-operative injuries of the bile ducts reviews the authors' experience on the subject. There is an analysis of such lesions in 4 different situations:
1) Recent wound recognized and repaired during surgery; 2) Immediate postoperatory fistula, peritonitis or stenosis; 3) Media te stricture; 4) Late stenosis with cirrhosis.
Treatment consisted in biliary reconstruction in 7 cases; hepaticojejunostomy using Couinaud-Hepp's technique, in 27 cases; and hepaticoduodenostomies in 5 cases, 3 of which had Billroth II gastrectomies.
One choledoco-duodenal fistula was not re operated; another patient died without being subject to biliary tract surgery.
Operatory death-rate was 7. 6 % in patients reoperated fer biliary tract lesions. Anastomoses were calibrated by transhepatic Tubes or seton tubes ( Y por double O), with the exception of excessively simply cases.
Downloads
Metrics
Downloads
Published
How to Cite
Issue
Section
License
All articles, videos and images published in Revista Cirugía del Uruguay are under the Creative Commons CC licenses, which is a complement to the traditional copyright, in the following terms: first, the authorship of the referred document must always be acknowledged and secondly none of the article or work published in the journal may have commercial purposes of any nature. The authors retain their copyrights and give the magazine the right of first publication of their work, which will be simultaneously subject to the Creative Commons Attribution-NonCommercial 4.0 International License license that allows the work to be shared whenever the initial publication is indicated in this journal.
