The Pedicle Effect and Direct Coupling Delayed Thermal Injuries to the Bile Duct After Laparoscopic Cholecystectomy

被引:38
作者
Humes, David J. [1 ]
Ahmed, Irfan [1 ]
Lobo, Dileep N. [1 ]
机构
[1] Univ Nottingham Hosp, Queens Med Ctr, Div Gastrointestinal Surg, Nottingham Digest Dis Ctr Biomed Res Unit, Nottingham NG7 2UH, England
关键词
D O I
10.1001/archsurg.2009.236
中图分类号
R61 [外科手术学];
学科分类号
100210 [外科学];
摘要
Electrothermal energy, especially in the form of monopolar diathermy, is used widely for dissection during laparoscopic cholecystectomy. While this is largely safe, occasionally there can be unrecognized transfer of energy in the operating area, resulting in electrothermal injury. We report a series of 3 patients who underwent uneventful laparoscopic cholecystectomies but were readmitted 4 to 5 days later with pinhole leaks from the common bile duct as a result of coagulative necrosis caused by unrecognized energy transfer. We suggest that surgeons keep the use of monopolar diathermy to a minimum while dissecting near vital structures. Arch Surg. 2010; 145(1): 96-98
引用
收藏
页码:96 / 98
页数:3
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