Trattamento delle fistole biliari da lesione di un dotto accessorio dopo colecistectomia videolaparoscopica. Valutazione diagnostico-terapeutica delle raccolte biliari dopo colecistectomia laparoscopica

Translated title of the contribution: Treatment of biliary fistula by iatrogenic lesion of accessory duct after laparoscopic cholecystectomy. Diagnostic-therapeutic evaluation of bile leak after laparoscopic cholecystectomy

G. Conzo, C. Caraco, G. Candela, L. Santini

Research output: Contribution to journalArticle

Abstract

Biliary fistula following iatrogenic lesion of biliary accessory duct, after laparoscopic cholecystectomy, is a rare event. Generally this kind of fistula resolves spontaneously. In the case described the concomitant presence of unknown lithiasis of the main bile duct, has prolonged hospitalization and has proposed questions on the diagnostic-therapeutic programme. In the authors' opinion, the ultrasonography has particular importance because it permits, in addition to ERCP, a correct diagnosis and, eventually a rapid drainage of the fistula. Only in more difficult case the scintigraphy with HIDA give useful information. On the other hand intraoperative colangiography, in selected patients can be useful to identify the fistula and to permit a prompt therapeutic programme.

Original languageItalian
Pages (from-to)81-84
Number of pages4
JournalChirurgia
Volume10
Issue number1
Publication statusPublished - 1997

Fingerprint

Biliary Fistula
Laparoscopic Cholecystectomy
Bile
Fistula
Lithiasis
Endoscopic Retrograde Cholangiopancreatography
Bile Ducts
Radionuclide Imaging
Drainage
Ultrasonography
Hospitalization
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "Trattamento delle fistole biliari da lesione di un dotto accessorio dopo colecistectomia videolaparoscopica. Valutazione diagnostico-terapeutica delle raccolte biliari dopo colecistectomia laparoscopica",
abstract = "Biliary fistula following iatrogenic lesion of biliary accessory duct, after laparoscopic cholecystectomy, is a rare event. Generally this kind of fistula resolves spontaneously. In the case described the concomitant presence of unknown lithiasis of the main bile duct, has prolonged hospitalization and has proposed questions on the diagnostic-therapeutic programme. In the authors' opinion, the ultrasonography has particular importance because it permits, in addition to ERCP, a correct diagnosis and, eventually a rapid drainage of the fistula. Only in more difficult case the scintigraphy with HIDA give useful information. On the other hand intraoperative colangiography, in selected patients can be useful to identify the fistula and to permit a prompt therapeutic programme.",
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T1 - Trattamento delle fistole biliari da lesione di un dotto accessorio dopo colecistectomia videolaparoscopica. Valutazione diagnostico-terapeutica delle raccolte biliari dopo colecistectomia laparoscopica

AU - Conzo, G.

AU - Caraco, C.

AU - Candela, G.

AU - Santini, L.

PY - 1997

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N2 - Biliary fistula following iatrogenic lesion of biliary accessory duct, after laparoscopic cholecystectomy, is a rare event. Generally this kind of fistula resolves spontaneously. In the case described the concomitant presence of unknown lithiasis of the main bile duct, has prolonged hospitalization and has proposed questions on the diagnostic-therapeutic programme. In the authors' opinion, the ultrasonography has particular importance because it permits, in addition to ERCP, a correct diagnosis and, eventually a rapid drainage of the fistula. Only in more difficult case the scintigraphy with HIDA give useful information. On the other hand intraoperative colangiography, in selected patients can be useful to identify the fistula and to permit a prompt therapeutic programme.

AB - Biliary fistula following iatrogenic lesion of biliary accessory duct, after laparoscopic cholecystectomy, is a rare event. Generally this kind of fistula resolves spontaneously. In the case described the concomitant presence of unknown lithiasis of the main bile duct, has prolonged hospitalization and has proposed questions on the diagnostic-therapeutic programme. In the authors' opinion, the ultrasonography has particular importance because it permits, in addition to ERCP, a correct diagnosis and, eventually a rapid drainage of the fistula. Only in more difficult case the scintigraphy with HIDA give useful information. On the other hand intraoperative colangiography, in selected patients can be useful to identify the fistula and to permit a prompt therapeutic programme.

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