Spectrum and management of major complications of laparoscopic cholecystectomy

Ress, Andrew M.; Sarr, Michael G.; Nagorney, David M.; Farnell, Michael B.; Donohue, John H.; McIlrath, Donald C.

doi:10.1016/s0002-9610(05)80783-4

Cited by 89 publications

(38 citation statements)

References 14 publications

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“…A previous report from our institution 4 outlined the pattern of the initial wave of complications from laparoscopic cholecystectomy and their treatment. That experience was reported expediently to alert surgeons to the increasing incidence of serious bile duct injury, and hence a long follow-up period was not practical.…”

Section: Discussionmentioning

confidence: 99%

Long-term Results of Biliary Reconstruction After Laparoscopic Bile Duct Injuries

Murr

Gigot²,

Nagorney³

et al. 1999

Arch Surg

132

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Hypothesis:The Hepp-Couinaud approach to biliary enteric reconstruction for laparoscopic bile duct injuries provides a durable, long-term result in most patients.Design: Retrospective study of patients who underwent operative repair of laparoscopic bile duct injuries from January 1990 through December 1997.Setting: Academic tertiary referral center.Main Outcome Measures: Outcome was assessed using a grading system based on clinical symptoms, liver function tests, and need for reintervention for anastomotic stricture. The Kaplan-Meier method was employed to estimate stricture-free survival.Results: Fifty-nine consecutive patients underwent operative repair of the following laparoscopic bile duct injuries (Strasberg classification):

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Section: Discussionmentioning

confidence: 99%

Long-term Results of Biliary Reconstruction After Laparoscopic Bile Duct Injuries

Murr

Gigot²,

Nagorney³

et al. 1999

Arch Surg

132

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show abstract

“…19,20 We found that videotaping the procedure was important when a difficult case with suspected injury was encountered; it was also helpful for learning, as well as for documentation and for planning for the management of postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Laparoscopic Cholecystectomies in 606 Patients: Experience at King Fahad Hospital, Medina

1996

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This is a retrospective study of 606 patients who underwent laparoscopic cholecystectomy at King Fahad Hospital, Medina, Saudi Arabia. The majority of them, 488 (80.5%), were females. Fifty (8.3%) patients presented with acute cholecystitis and 556 (91.7%) were chronic cases. Common bile duct stones were detected in 22 (3.6%) patients. Laparoscopic cholecystectomy was successful in 539 (89%) patients and converted to open cholecystectomy in 67 (11%) patients due to a variety of reasons. The mean operative time was 65.9 minutes. Most of the patients (64.7%) were discharged within 72 hours. There were no deaths in this series. The overall complication rate was 5.6% and the incidence of major ductal injury was 0

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“…Despite some early reports of increased bile duct injuries and deaths resulting from the laparoscopic ap-proach, 170,171 laparoscopic cholecystectomy has been shown to be safe and effective when performed by skilled laparoscopic surgeons. 172,173 We have done more than 3,000 laparoscopic cholecystectomies at our institution and have encountered only one bile duct injury, which was successfully repaired over a T-tube.…”

Section: Laparoscopic Cholecystectomy: Unsuspected Carcinoma Of the Gmentioning

confidence: 99%

Laparoscopic surgery for cancer patients

Ramshaw

1997

CA: A Cancer Journal for Clinicians

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Spectrum and management of major complications of laparoscopic cholecystectomy

Cited by 89 publications

References 14 publications

Long-term Results of Biliary Reconstruction After Laparoscopic Bile Duct Injuries

Long-term Results of Biliary Reconstruction After Laparoscopic Bile Duct Injuries

Analysis of Laparoscopic Cholecystectomies in 606 Patients: Experience at King Fahad Hospital, Medina

Laparoscopic surgery for cancer patients

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