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 journalArticlepeer-review


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
Issue number27
Publication statusPublished - 1999


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

ASJC Scopus subject areas

  • Gastroenterology

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