TREATMENT OF BILE LEAKS FROM THE CYSTOHEPATIC DUCTS AFTER LAPAROSCOPIC CHOLECYSTECTOMY

被引：35

作者：

JENKINS, MA ^{[1
]}

PONSKY, JL ^{[1
]}

LEHMAN, GA ^{[1
]}

FANELLI, R ^{[1
]}

BIANCHI, T ^{[1
]}

机构：

[1] CASE WESTERN RESERVE UNIV,SCH MED,DEPT SURG,CLEVELAND,OH 44106

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1994年 / 8卷 / 03期

关键词：

CYSTOHEPATIC DUCTS; LAPAROSCOPIC CHOLECYSTECTOMY; BILIARY LEAK; BILIARY STENT;

D O I：

10.1007/BF00591828

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The cystohepatic ducts represent accessory bile ducts of variable size which frequently travel within the gallbladder fossa or in the posterior wall of the gallbladder. These ducts can be injured during laparoscopic cholecystectomy and can result in bile collections if transected. Successful treatment by operative means or radiologically guided percutaneous drainage is possible, but endoscopic management has several advantages. We describe cases managed by endoscopic retrograde cholangiopancreatography (ERCP) with stent placement and discuss the advantages of this method. Also discussed is the anatomy of these accessory bile ducts, additional management options, and techniques for avoiding this injury during open or closed cholecystectomy.

引用

页码：193 / 196

页数：4

共 13 条

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