Bile Leaks After Laparoscopic Cholecystectomy

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• Incidence of biliary injury when laparoscopic cholecystectomy is performed for acute cholecystitis is three times greater than that for elective laparoscopic cholecystectomy and twice as high as open cholecystectomy for acute cholecystitis.
• The aberrant right hepatic duct anomaly is the most common problem. • The most dangerous variant is when the cystic duct joins a low-lying aberrant right sectional duct. These injuries are underreported since occlusion of an aberrant duct may be asymptomatic and even unrecognized.
Page 1 and 2: Bile Leaks After Laparoscopic Chole
Page 3: • As surgeons passed through lear
Page 7 and 8: • In 1995, Strasberg and Soper mo
Page 9 and 10: Classification of Biliary Duct Inju
Page 11 and 12: • Routine intraoperative cholangi
Page 13 and 14: • Significant postoperative bile
Page 15 and 16: • Minor bile leakage is common af
Page 17: • ERCP and percutaneous transhepa
Page 20 and 21: • In cases where there is a bile
Page 22 and 23: • In the past, nasobiliary drains
Page 24 and 25: • Intrahepatic bile duct injuries

Bile Leaks After Laparoscopic Cholecystectomy

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