Extrahepatic Bile Ducts Injury during Laparoscopic Cholecystectomy
https://doi.org/10.16931/1995-5464.2017446-52
Abstract
Aim. To analyze the incidence and nature of biliary injuries during laparoscopic cholecystectomy within 10 years in a single hospital.
Material and Methods. From 2007 for 2017 at the V.V. Veresayev City Hospital 1787 patients underwent laparoscopic
cholecystectomy for benign gallbladder disease including calculous cholecystitis and polyps of the gallbladder. Elective and emergency procedures were carried out in 68.8% and 31.2% of cases respectively. Females were predominant. Mean age was 46.32 ± 4.64 years. Various types of biliary injuries were determined according to Strasberg (1995) classification.
Results. Iatrogenic biliary injuries were revealed in 8 (0.45%) patients including 4 (0.72%) cases of acute cholecystitis and 4 (0.33%) cases of elective management.
Conclusion. In our opinion, the main requirement for safe laparoscopic cholecystectomy is careful and laborious preparation in Calot`s triangle zone. We consider expedient video fixing of operation for the analysis of surgeon’s technique and mistakes and for assessment of interesting observations in the training process of personnel and cadets of the clinic.
About the Authors
O. Kh. Khalidov
A.I. Evdokimov Moscow State University of Medicine and Dentistry;
Veresayev City Clinical Hospital of Moscow Healthcare Department
Russian Federation
Russian Federation
Khalidov Omar Khalidovich – Doct. of Med. Sci., Professor of the Chair of Surgical Diseases and Clinical Angiology, Evdokimov Moscow State University of Medicine and Dentistry, Surgeon at the Veresayev City Clinical Hospital.
20/1, Delegatskaja str., Moscow, 127473, Russian Federation;
10, Lobnenskaia str., Moscow, 127644, Russian Federation
A. N. Gudkov
Veresayev City Clinical Hospital of Moscow Healthcare Department
Russian Federation
Russian Federation
Gudkov Alexander Nikolaevich – Head of Surgical Department No 18 in Veresayev City Clinical Hospital.
10, Lobnenskaia str., Moscow, 127644, Russian Federation
A. B. Dzhadzhiev
A.I. Evdokimov Moscow State University of Medicine and Dentistry;
Veresayev City Clinical Hospital of Moscow Healthcare Department
Russian Federation
10, Lobnenskaia str., Moscow, 127644, Russian Federation
Russian Federation
Dzhadzhiev Andrey Borisovich – Cand. of Med. Sci., Assistant of the Chair of Surgical Diseases and Clinical Angiology, Evdokimov Moscow State University of Medicine and Dentistry, Surgeon at the Veresaev City Clinical Hospital.
20/1, Delegatskaja str., Moscow, 127473, Russian Federation;10, Lobnenskaia str., Moscow, 127644, Russian Federation
A. G. Kartsev
Veresayev City Clinical Hospital of Moscow Healthcare Department
Russian Federation
Russian Federation
Kartsev Alexey Georgievich – Head of Endoscopic Department of Veresayev City Clinical Hospital.
10, Lobnenskaia str., Moscow, 127644, Russian FederationG. P. Dmitrienko
Veresayev City Clinical Hospital of Moscow Healthcare Department
Russian Federation
Russian Federation
Dmitrienko Georgiy Petrovich – Endoscopic Surgeon at the Endoscopic Department of Veresayev City Clinical Hospital.
10, Lobnenskaia str., Moscow, 127644, Russian FederationV. S. Fomin
A.I. Evdokimov Moscow State University of Medicine and Dentistry;
Veresayev City Clinical Hospital of Moscow Healthcare Department
Russian Federation
Russian Federation
Fomin Vladimir Sergeevich – Cand. of Med. Sci., Associate Professor of the Chair of Surgical Diseases and Clinical Angiology, Evdokimov Moscow State University of Medicine and Dentistry, Surgeon at the Veresayev City Clinical Hospital.
20/1, Delegatskaja str., Moscow, 127473, Russian Federation;
10, Lobnenskaia str., Moscow, 127644, Russian Federation
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Review
For citations:
Khalidov O.Kh., Gudkov A.N., Dzhadzhiev A.B., Kartsev A.G., Dmitrienko G.P., Fomin V.S. Extrahepatic Bile Ducts Injury during Laparoscopic Cholecystectomy. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2017;22(4):46-52. (In Russ.) https://doi.org/10.16931/1995-5464.2017446-52
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