Treatment of iatrogenic injuries of the main bile duct
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) Med...
| Autores: | , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 1978 |
| País: | Uruguay |
| Institución: | Sociedad de Cirugía del Uruguay |
| Repositorio: | Revista Cirugía del Uruguay |
| Idioma: | español |
| OAI Identifier: | oai:ojs2.revista.scu.org.uy:article/2961 |
| Acceso en línea: | https://revista.scu.org.uy/index.php/cir_urug/article/view/2961 |
| Access Level: | acceso abierto |
| Palabra clave: | conducto biliar heridas bile duct injuries |
| Sumario: | 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. |
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