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Surg Laparosc Endosc Percutan Tech ; 12(2): 110-4, 2002 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11948297

RESUMO

Although the procedures adopted for bile duct surgery are routine, serious complications occasionally occur. This article reports the authors' experience in managing an iatrogenic ligature of the bile duct. The patient in this case had undergone open cholecystectomy and had significant jaundice in the early postoperative period. During the investigation, a complete ligature of the common hepatic duct was discovered. An anastomosis of the common hepatic duct with an excluded jejunum loop was performed with use of laparoscopy. Periodic follow-up continuing until 30 months after surgery showed the patient was asymptomatic, and ultrasonography, percutaneous transhepatic cholangiography, and cholangioresonance findings were normal. We consider the procedure feasible and technically advantageous when done with the assistance of laparoscopy.


Assuntos
Anastomose Cirúrgica/métodos , Ducto Colédoco/cirurgia , Ducto Hepático Comum/cirurgia , Doença Iatrogênica , Jejuno/cirurgia , Adulto , Colangiografia , Colecistectomia , Ducto Colédoco/diagnóstico por imagem , Feminino , Ducto Hepático Comum/diagnóstico por imagem , Humanos , Laparoscopia , Complicações Pós-Operatórias
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