Cystic duct leaks in laparoscopic cholecystectomy

Woods, Michael S.; Shellito, John L.; Santoscoy, Gilbert S.; Hagan, Robert C.; Kilgore, William; Traverso, L. William; Kozarek, Richard A.; Brandabur, John J.

doi:10.1016/s0002-9610(05)80122-9

Cited by 75 publications

(72 citation statements)

References 16 publications

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“…Woods et al [12] noted this cause in 17 of 34 cases with biliary complications. In our series we noted it in only two patients: one with slippage of the clips from a short cystic stump and another with choleperitoneum at 14 days following necrosis of the cystic duct stump due to transmission of the diathermy current.…”

Section: Discussionmentioning

confidence: 94%

“…Lesions of the extrahepatic bile ducts can occur at any level as follows. Detachment of the gallbladder may open any accessory bile ducts present in the gallbladder bed [10][11][12][13]; postmortem studies demonstrate their presence in 3-5% of individuals [11]. However, accessory bile ducts were only recognised in three patients immediately after detachment of the gallbladder.…”

Section: Discussionmentioning

confidence: 99%

“…Although the differences are not statistically signi®cant, this injury is more frequently seen in LC (1% of cases) [2,3,9,12,18,19] than in open cholecystectomy (0.5% of cases) [5]. Analysing 15 cases (0.8%) of CBD injury among 6067 cases operated by laparoscopy in Holland, Schol et al [3] found two common causes.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic cholecystectomy: incidents and complications. A retrospective analysis of 9542 consecutive laparoscopic operations

Duca¹,

Bãlã²,

Al-Hajjar³

et al. 2003

HPB: Official Journal of The International Hepato Pancreato Bil

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BackgroundEven though laparoscopic cholecystectomy (LC) has become the customary method for treating gallstones, some incidents and complications appear rather more frequently than with the open technique. Several aspects of these complications and their treatment possibilities are analysed. Materials and methodsOver the last 9 years 9542 LCs have been performed at this centre, of which 13.9% were carried out for acute cholecystitis, 38.4% in obese patients and 7.6% in patients aged >65 years. ResultsThe main operative incidents encountered were haemorrhage

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

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Laparoscopic cholecystectomy: incidents and complications. A retrospective analysis of 9542 consecutive laparoscopic operations

Duca¹,

Bãlã²,

Al-Hajjar³

et al. 2003

HPB: Official Journal of The International Hepato Pancreato Bil

View full text Add to dashboard Cite

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“…Woods et al, reported 17 out of 34 cases had biliary complications. 12 In this study, haemorrhage was found in 14 out of 32 cases due to laparoscopic means. Subhepatic abscess reported in the present study was 2 out of 32 cases.…”

Section: Figure 1: Male:female Ratio Of Cholelithiasis Cases (N=1695)mentioning

confidence: 56%

Complications of laparoscopic cholecystectomy: an analysis of 1,695 laparoscopic operations

Jatothu

Sade²,

Sade

et al. 2017

Int Surg J

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Background: Laparoscopic cholecystectomy (LCs) is the gold standard method to treat gallstone disease. But there are some complications which occur frequently as compared to open cholecystectomy.Methods: The prospective study was conducted in the Department of Surgery, Kamineni Institute of Medical Sciences, Telengana during the period of 2 years; March 2015 to February 2017. A total of 1,695 laparoscopic cholecystectomy cases were included in this study. Several treatment options such as, conservative treatment, minimally invasive treatment and open surgery was performed based on the severity of the disease.Results: Majority of patients were female (83.9%) and most common age group affected was above 40 years. Intra-operative and post-operative complication occurred in 4.5% and 1.9% patients respectively. Majority complications were treated by conservative treatment and minimally invasive treatment. So, in conclusion, we can use conservative and minimally invasive treatment to manage the complications from laparoscopic cholecystectomy.Conclusions: Conservative treatment options and minimally invasive treatment was more efficient to overcome the post-operative complication of laparoscopic cholecystectomy.

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“…At the time of the repair, the most serious problem is the injury to the main bile duct. Although the differences are not statistically significant, this injury is more frequently seen in laparoscopic cholecystectomy (1 % of cases) [13][14][15][16]. In open cholecystectomy in the operation of portocaval anastomosis, the portal vein is mobilized circumferentially at its midpoint [17].…”

Section: Measurement Of the Celiac Trunk Diametermentioning

confidence: 99%

Morphometric Study of Coeliac Trunk Specific Reference to Hepatic Artery Pattern in the West-Indian Population

Singh¹,

Bhatt²,

Patel

et al. 2012

Indian J Surg

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The aim of this study was to analyze anatomy of the celiac trunk through its diameter, length, and variation of its branches. We studied 40 cadavers (25 males and 15 females) in the various colleges in the west India for the variation in the celiac trunk. Dissection of the celiac trunk was performed after opening of the peritoneal cavity. The length of the celiac trunk up to the common hepatic artery was observed. Diameter of the celiac trunk and distance between the celiac trunk and the superior mesenteric artery were observed. We found cases of rare vascular variation in the branching pattern and the common hepatic artery, which arises from the superior mesenteric artery and there is abnormal relation between the common hepatic artery portal vein and the bile duct. In a case we have observed that the superior mesenteric artery gives acute angulations downward on the right side. This type of study of celiac trunk and presence of variation in hepatic arteries will allow the surgeon to practice safe laparoscopic cholecystectomy, liver resections, or vascular recombination in transplantation and, thereby, avoid errors and patient morbidity.

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Cystic duct leaks in laparoscopic cholecystectomy

Cited by 75 publications

References 16 publications

Laparoscopic cholecystectomy: incidents and complications. A retrospective analysis of 9542 consecutive laparoscopic operations

Laparoscopic cholecystectomy: incidents and complications. A retrospective analysis of 9542 consecutive laparoscopic operations

Complications of laparoscopic cholecystectomy: an analysis of 1,695 laparoscopic operations

Morphometric Study of Coeliac Trunk Specific Reference to Hepatic Artery Pattern in the West-Indian Population

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