Avoiding biliary injury during laparoscopic cholecystectomy: technical considerations

被引:54
作者
Callery, M. P. [1 ]
机构
[1] Harvard Univ, Sch Med, Beth Israel Deaconess Med Ctr, Div Gen Surg, Boston, MA 02215 USA
来源
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2006年 / 20卷 / 11期
关键词
biliary injury; critical view; laparoscopic cholecystectomy; misidentification;
D O I
10.1007/s00464-006-0488-3
中图分类号
R61 [外科手术学];
学科分类号
摘要
Experience alone is not sufficient to protect surgeons and their patients from biliary injury. This article suggests valuable technical considerations for the performance of laparoscopic cholecystectomy. Against the background of a widely accepted biliary injury classification system, the risk factors and causes of biliary injury are considered. The concept of the critical view exposure technique for Calot's triangle is emphasized from the practical standpoint of avoiding misidentified injuries.
引用
收藏
页码:1654 / 1658
页数:5
相关论文
共 30 条
[1]
Adamsen S, 1997, J AM COLL SURGEONS, V184, P571
[2]
Incidence and consequence of an hepatic artery injury in patients with postcholecystectomy bile duct strictures [J].
Alves, A ;
Farges, O ;
Nicolet, J ;
Watrin, T ;
Sauvanet, A ;
Belghiti, J .
ANNALS OF SURGERY, 2003, 238 (01) :93-96
[3]
THERMAL-INJURY OF THE POSTERIOR DUODENUM DURING LAPAROSCOPIC CHOLECYSTECTOMY [J].
BERRY, SM ;
OSE, KJ ;
BELL, RH ;
FINK, AS .
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1994, 8 (03) :197-200
[4]
Common bile duct injuries during laparoscopic cholecystectomy that result in litigation [J].
Carroll, BJ ;
Birth, M ;
Phillips, EH .
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1998, 12 (04) :310-313
[5]
Routine cholangiography reduces sequelae of common bile duct injuries [J].
Carroll, BJ ;
Friedman, RL ;
Liberman, MA ;
Phillips, EH .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 1996, 10 (12) :1194-1197
[6]
MECHANISMS OF MAJOR BILIARY INJURY DURING LAPAROSCOPIC CHOLECYSTECTOMY [J].
DAVIDOFF, AM ;
PAPPAS, TN ;
MURRAY, EA ;
HILLEREN, DJ ;
JOHNSON, RD ;
BAKER, ME ;
NEWMAN, GE ;
COTTON, PB ;
MEYERS, WC .
ANNALS OF SURGERY, 1992, 215 (03) :196-202
[7]
Doganay M, 2002, Surg Endosc, V16, P216
[8]
Ferguson C M, 1992, Surg Laparosc Endosc, V2, P1
[9]
Complications of cholecystectomy: Risks of the laparoscopic approach and protective effects of operative cholangiography - A population-based study [J].
Fletcher, DR ;
Hobbs, MST ;
Tan, P ;
Valinsky, LJ ;
Hockey, RL ;
Pikora, TJ ;
Knuiman, MW ;
Sheiner, HJ ;
Edis, A .
ANNALS OF SURGERY, 1999, 229 (04) :449-457
[10]
Intraoperative cholangiography and risk of common bile duct injury during cholecystectomy [J].
Flum, DR ;
Dellinger, EP ;
Cheadle, A ;
Chan, L ;
Koepsell, T .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 289 (13) :1639-1644