Surgery of iatrogenic bile duct injuries

Česká verzia

Authors: M. Oliverius; R. Gürlich
Authors place of work: Chirurgická klinika 3. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady, Praha
Published in the journal: Rozhl. Chir., 2022, roč. 101, č. 9, s. 421-427.
Category: Review
doi: https://doi.org/10.33699/PIS.2022.101.9.421–427

Summary

Iatrogenic bile duct injury still represents a serious complication mostly connected with minimally invasive cholecystectomy. This complication has an important impact both on short- and long-term morbidity and is associated with non-negligible mortality. The objective of our study was to provide a comprehensive summary of information based on the most recent guidelines with recommendations for how to prevent a bile duct injury, how to reach an early diagnosis and finally, how to proceed should they occur in order to minimize further damage. We also present ATOM, a new classification of bile duct injuries that provides clear information not only about the extent of anatomical damage, but also about the time and mechanism of its occurrence.

Keywords:

laparoscopic cholecystectomy – bile duct injury – classification of bile duct injuries

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