Iatrogenic injury in videolaparoscopic cholecystectomy

Difficult surgical correction biliary tract

S. B. Doldi, Massimo Marinoni, E. Mozzi, F. Longoni, M. A. Zappa

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Two cases of biliary tract serious lesions during videolaparoscopic cholecystectomy are reported. In the first case of lithiasic cholecystitis there had been a complete damage of the common biliary duct; in the second case there had been a double main biliary duct binding with removal of a biliary tract segment. In both cases a biliary confluence-jejunal anastomosis with Roux-en-Y loop was made up. In the first one the operation was difficult because of the main bile duct's fragility and modest expansion. In the second one the presence of a secondary biliary duct in gallbladder fossa not recognized, but drained outside with a common drainage placed during the operation prevented appearance of jaundice with dilatation of biliary ducts. It was heavily conditioned performing confluence-jejunal anastomosis with Roux-en-Y loop. The post-operative course was characterized by appearance of an external biliary fistula which has spontaneously disappeared. One year later, neither of the two patients had any stenosis or cholangitis problems.

Original languageEnglish
Pages (from-to)1631-1633
Number of pages3
JournalHepato-Gastroenterology
Volume46
Issue number27
Publication statusPublished - 1999

Fingerprint

Roux-en-Y Anastomosis
Biliary Tract
Cholecystectomy
Biliary Fistula
Cutaneous Fistula
Cholecystitis
Cholangitis
Wounds and Injuries
Jaundice
Bile Ducts
Gallbladder
Dilatation
Drainage
Pathologic Constriction

Keywords

  • Biliary tract
  • Confluence-jejunal anastomosis with Roux-en-Y loop
  • Latrogenic injury
  • Surgical correction
  • Videolaparoscopic cholecystectomy

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Doldi, S. B., Marinoni, M., Mozzi, E., Longoni, F., & Zappa, M. A. (1999). Iatrogenic injury in videolaparoscopic cholecystectomy: Difficult surgical correction biliary tract. Hepato-Gastroenterology, 46(27), 1631-1633.

Iatrogenic injury in videolaparoscopic cholecystectomy : Difficult surgical correction biliary tract. / Doldi, S. B.; Marinoni, Massimo; Mozzi, E.; Longoni, F.; Zappa, M. A.

In: Hepato-Gastroenterology, Vol. 46, No. 27, 1999, p. 1631-1633.

Research output: Contribution to journalArticle

Doldi, SB, Marinoni, M, Mozzi, E, Longoni, F & Zappa, MA 1999, 'Iatrogenic injury in videolaparoscopic cholecystectomy: Difficult surgical correction biliary tract', Hepato-Gastroenterology, vol. 46, no. 27, pp. 1631-1633.
Doldi, S. B. ; Marinoni, Massimo ; Mozzi, E. ; Longoni, F. ; Zappa, M. A. / Iatrogenic injury in videolaparoscopic cholecystectomy : Difficult surgical correction biliary tract. In: Hepato-Gastroenterology. 1999 ; Vol. 46, No. 27. pp. 1631-1633.
@article{62cabe80374a4896bf4a0f6b8d057d2b,
title = "Iatrogenic injury in videolaparoscopic cholecystectomy: Difficult surgical correction biliary tract",
abstract = "Two cases of biliary tract serious lesions during videolaparoscopic cholecystectomy are reported. In the first case of lithiasic cholecystitis there had been a complete damage of the common biliary duct; in the second case there had been a double main biliary duct binding with removal of a biliary tract segment. In both cases a biliary confluence-jejunal anastomosis with Roux-en-Y loop was made up. In the first one the operation was difficult because of the main bile duct's fragility and modest expansion. In the second one the presence of a secondary biliary duct in gallbladder fossa not recognized, but drained outside with a common drainage placed during the operation prevented appearance of jaundice with dilatation of biliary ducts. It was heavily conditioned performing confluence-jejunal anastomosis with Roux-en-Y loop. The post-operative course was characterized by appearance of an external biliary fistula which has spontaneously disappeared. One year later, neither of the two patients had any stenosis or cholangitis problems.",
keywords = "Biliary tract, Confluence-jejunal anastomosis with Roux-en-Y loop, Latrogenic injury, Surgical correction, Videolaparoscopic cholecystectomy",
author = "Doldi, {S. B.} and Massimo Marinoni and E. Mozzi and F. Longoni and Zappa, {M. A.}",
year = "1999",
language = "English",
volume = "46",
pages = "1631--1633",
journal = "Acta hepato-splenologica",
issn = "0172-6390",
publisher = "H.G.E. Update Medical Publishing Ltd.",
number = "27",

}

TY - JOUR

T1 - Iatrogenic injury in videolaparoscopic cholecystectomy

T2 - Difficult surgical correction biliary tract

AU - Doldi, S. B.

AU - Marinoni, Massimo

AU - Mozzi, E.

AU - Longoni, F.

AU - Zappa, M. A.

PY - 1999

Y1 - 1999

N2 - Two cases of biliary tract serious lesions during videolaparoscopic cholecystectomy are reported. In the first case of lithiasic cholecystitis there had been a complete damage of the common biliary duct; in the second case there had been a double main biliary duct binding with removal of a biliary tract segment. In both cases a biliary confluence-jejunal anastomosis with Roux-en-Y loop was made up. In the first one the operation was difficult because of the main bile duct's fragility and modest expansion. In the second one the presence of a secondary biliary duct in gallbladder fossa not recognized, but drained outside with a common drainage placed during the operation prevented appearance of jaundice with dilatation of biliary ducts. It was heavily conditioned performing confluence-jejunal anastomosis with Roux-en-Y loop. The post-operative course was characterized by appearance of an external biliary fistula which has spontaneously disappeared. One year later, neither of the two patients had any stenosis or cholangitis problems.

AB - Two cases of biliary tract serious lesions during videolaparoscopic cholecystectomy are reported. In the first case of lithiasic cholecystitis there had been a complete damage of the common biliary duct; in the second case there had been a double main biliary duct binding with removal of a biliary tract segment. In both cases a biliary confluence-jejunal anastomosis with Roux-en-Y loop was made up. In the first one the operation was difficult because of the main bile duct's fragility and modest expansion. In the second one the presence of a secondary biliary duct in gallbladder fossa not recognized, but drained outside with a common drainage placed during the operation prevented appearance of jaundice with dilatation of biliary ducts. It was heavily conditioned performing confluence-jejunal anastomosis with Roux-en-Y loop. The post-operative course was characterized by appearance of an external biliary fistula which has spontaneously disappeared. One year later, neither of the two patients had any stenosis or cholangitis problems.

KW - Biliary tract

KW - Confluence-jejunal anastomosis with Roux-en-Y loop

KW - Latrogenic injury

KW - Surgical correction

KW - Videolaparoscopic cholecystectomy

UR - http://www.scopus.com/inward/record.url?scp=0032790689&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032790689&partnerID=8YFLogxK

M3 - Article

VL - 46

SP - 1631

EP - 1633

JO - Acta hepato-splenologica

JF - Acta hepato-splenologica

SN - 0172-6390

IS - 27

ER -