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Surgical Endoscopy
Published in: Surgical Endoscopy 11/2006

01-11-2006 | Biliary Tract Forum

Avoiding biliary injury during laparoscopic cholecystectomy: technical considerations

Author: M. P. Callery

Published in: Surgical Endoscopy | Issue 11/2006

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Abstract

Experience alone is not sufficient to protect surgeons and their patients from biliary injury. This article suggests valuable technical considerations for the performance of laparoscopic cholecystectomy. Against the background of a widely accepted biliary injury classification system, the risk factors and causes of biliary injury are considered. The concept of the critical view exposure technique for Calot’s triangle is emphasized from the practical standpoint of avoiding misidentified injuries.
Literature
1.
Strasberg SM, Hertl M, Soper NJ (1995) An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg 180: 101–125PubMed
2.
Hugh TB (2002) Laparoscopic bile duct injury: some myths (review, see comment, 21 references). ANZ J Surg 72: 164–167PubMedCrossRef
3.
Adamsen S, Hansen OH, Funch-Jensen P, et al. (1997) Bile duct injury during laparoscopic cholecystectomy: a prospective nationwide series. J Am Coll Surg 184: 571–578PubMed
4.
Murr MM, Gigot JF, Nagorney DM, et al. (1999) Long-term results of biliary reconstruction after laparoscopic bile duct injuries. Arch Surg 134: 604–609PubMedCrossRef
5.
Doganay M, Kama NA, Reis E, et al. (2002) Management of main bile duct injuries that occur during laparoscopic cholecystectomy. Surg Endosc 16: 216PubMedCrossRef
6.
Gazzaniga GM, Filauro M, Mori L (1254) Surgical treatment of iatrogenic lesions of the proximal common bile duct. World J Surg 25: 1254–1259PubMedCrossRef
7.
Mercado MA, Chan C, Orozco H, et al. (1351) Acute bile duct injury: the need for a high repair. Surg Endosc 17: 1351–1355PubMedCrossRef
8.
Sikora SS, Kumar A, Das NR, et al. (2001) Laparoscopic bile duct injuries: spectrum at a tertiary care center. J Laparoendosc Adv Surg Tech Part A 11: 63–68CrossRef
9.
Reid SH, Cho SR, Shaw CI, Turner MA (1986) Anomalous hepatic duct inserting into the cystic duct. AJR Am J Roentgenol 147: 1181–1182PubMed
10.
Davidoff AM, Pappas TN, Murray EA, et al. (1992) Mechanisms of major biliary injury during laparoscopic cholecystectomy. Ann Surg 215: 196–202PubMedCrossRef
11.
Meyers WC, et al. (1991) A prospective analysis of 1,518 laparoscopic cholecystectomies. The Southern Surgeons Club. New Engl J Med 324: 1073–1078CrossRef
12.
Berry SM, Ose KJ, Bell RH, Fink AS (1994) Thermal injury of the posterior duodenum during laparoscopic cholecystectomy. Surg Endosc 8: 197–200PubMedCrossRef
13.
Schol FP, Go PM, Gouma DJ (1994) Risk factors for bile duct injury in laparoscopic cholecystectomy: analysis of 49 cases (see comments). Br J Surg 81: 1786–1788PubMed
14.
Russell JC, Walsh SJ, Mattie AS, Lynch JT (1996) Bile duct injuries, 1989–1993: a statewide experience. Connecticut Laparoscopic Cholecystectomy Registry. Arch Surg 131: 382–388PubMed
15.
Kum CK, Eypasch E, Lefering R, et al. (1996) Laparoscopic cholecystectomy for acute cholecystitis: is it really safe? World J Surg 20: 43–48PubMedCrossRef
16.
Strasberg SM, Eagon CJ, Drebin JA (2000) The “hidden cystic duct” syndrome and the infundibular technique of laparoscopic cholecystectomy: the danger of the false infundibulum. J Am Coll Surg 191: 661–667PubMedCrossRef
17.
Hugh TB (2002) New strategies to prevent laparoscopic bile duct injury: surgeons can learn from pilots. Surgery 132: 826–835PubMedCrossRef
18.
Way LW, Stewart L, Gantert W, et al. (2003) Causes and prevention of laparoscopic bile duct injuries: analysis of 252 cases from a human factors and cognitive psychology perspective. Ann Surg 237: 460–469PubMedCrossRef
19.
Alves A, Farges O, Nicolet J, et al. (2003) Incidence and consequence of an hepatic artery injury in patients with postcholecystectomy bile duct strictures. Ann Surg 238: 93–96PubMedCrossRef
20.
Ferguson CM, Rattner DW, Warshaw AL (1992) Bile duct injury in laparoscopic cholecystectomy. Surg Laparosc Endoscoc Percut Tech 2: 1–7
21.
Fletcher DR, Hobbs MS, Tan P, et al. (1999) Complications of cholecystectomy: risks of the laparoscopic approach and protective effects of operative cholangiography: a population-based study. Ann Surg 229: 449–457PubMedCrossRef
22.
Flum DR, Dellinger EP, Cheadle A, et al. (2003) Intraoperative cholangiography and risk of common bile duct injury during cholecystectomy. JAMA 289: 1639–1644PubMedCrossRef
23.
Ludwig K, Bernhardt J, Steffen H, Lorenz D (2002) Contribution of intraoperative cholangiography to incidence and outcome of common bile duct injuries during laparoscopic cholecystectomy. Surg Endosc 16: 1098–1104PubMedCrossRef
24.
Carroll BJ, Friedman RL, Liberman MA, Phillips EH (1996) Routine cholangiography reduces sequelae of common bile duct injuries. Surg Endosc 10: 1194–1197PubMedCrossRef
25.
Kullman E, Borch K, Lindstrom E, et al. (1996) Value of routine intraoperative cholangiography in detecting aberrant bile ducts and bile duct injuries during laparoscopic cholecystectomy. Br J Surg 83: 171–175PubMedCrossRef
26.
Woods MS, Traverso LW, Kozarek RA, et al. (1995) Biliary tract complications of laparoscopic cholecystectomy are detected more frequently with routine intraoperative cholangiography. Surg Endosc 9: 1076–1080PubMedCrossRef
27.
Park YH, Oskanian Z (1992) Obstructive jaundice after laparoscopic cholecystectomy with electrocautery. Am Surg 58: 321–323PubMed
28.
Carroll BJ, Birth M, Phillips EH (1998) Common bile duct injuries during laparoscopic cholecystectomy that result in litigation. Surg Endosc 12: 310–313PubMedCrossRef
29.
Gigot J, Etienne J, Aerts R, et al. (1997) The dramatic reality of biliary tract injury during laparoscopic cholecystectomy: an anonymous multicenter Belgian survey of 65 patients. Surg Endosc 11: 1171–1178PubMedCrossRef
30.
Stewart L, Way LW (1995) Bile duct injuries during laparoscopic cholecystectomy: factors that influence the results of treatment. Arch Surg 1995: 1123–1129
Metadata
Title
Avoiding biliary injury during laparoscopic cholecystectomy: technical considerations
Author
M. P. Callery
Publication date
01-11-2006
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 11/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-006-0488-3

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