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T-tube bridging for the management of biliary tree injuries
BACKGROUND: Injuries of the biliary tree, which mainly occur as a complication of laparoscopic cholecystectomy, are a potentially life threatening cause of high morbidity and mortality. The reported frequency of biliary injuries after laparoscopic cholecystectomy is from 0.5–0.8%. Such injuries may...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3615961/ https://www.ncbi.nlm.nih.gov/pubmed/23569540 http://dx.doi.org/10.12659/AJCR.883499 |
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author | Olmez, Aydemir Hatipoglu, Sinan Itik, Veyis Kotan, Cetin |
author_facet | Olmez, Aydemir Hatipoglu, Sinan Itik, Veyis Kotan, Cetin |
author_sort | Olmez, Aydemir |
collection | PubMed |
description | BACKGROUND: Injuries of the biliary tree, which mainly occur as a complication of laparoscopic cholecystectomy, are a potentially life threatening cause of high morbidity and mortality. The reported frequency of biliary injuries after laparoscopic cholecystectomy is from 0.5–0.8%. Such injuries may sometimes become too complicated for surgical repair. Presented here is the case of a patient with a major bile duct injury for whom bile duct continuity was achieved using a T-tube. CASE REPORT: A 53-year-old man, who developed bile duct injury following a laparoscopic cholecystectomy performed in another center for cholelithiasis, was referred to our clinic. A Roux-en-Y hepaticojejunostomy was performed in the early postoperative period. However, ensuing anastomotic leakage prompted undoing of the hepaticojejunostomy followed by placement of a T-tube by which bile duct continuity was achieved. CONCLUSIONS: For injuries with tissue loss requiring external drainage, T-tube bridging offers a feasible option in that it provides bile duct continuity with biliary flow into the duodenum, as well as achieving external drainage, thus alleviating the need for further definitive surgery. |
format | Online Article Text |
id | pubmed-3615961 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-36159612013-04-08 T-tube bridging for the management of biliary tree injuries Olmez, Aydemir Hatipoglu, Sinan Itik, Veyis Kotan, Cetin Am J Case Rep Case Report BACKGROUND: Injuries of the biliary tree, which mainly occur as a complication of laparoscopic cholecystectomy, are a potentially life threatening cause of high morbidity and mortality. The reported frequency of biliary injuries after laparoscopic cholecystectomy is from 0.5–0.8%. Such injuries may sometimes become too complicated for surgical repair. Presented here is the case of a patient with a major bile duct injury for whom bile duct continuity was achieved using a T-tube. CASE REPORT: A 53-year-old man, who developed bile duct injury following a laparoscopic cholecystectomy performed in another center for cholelithiasis, was referred to our clinic. A Roux-en-Y hepaticojejunostomy was performed in the early postoperative period. However, ensuing anastomotic leakage prompted undoing of the hepaticojejunostomy followed by placement of a T-tube by which bile duct continuity was achieved. CONCLUSIONS: For injuries with tissue loss requiring external drainage, T-tube bridging offers a feasible option in that it provides bile duct continuity with biliary flow into the duodenum, as well as achieving external drainage, thus alleviating the need for further definitive surgery. International Scientific Literature, Inc. 2012-10-05 /pmc/articles/PMC3615961/ /pubmed/23569540 http://dx.doi.org/10.12659/AJCR.883499 Text en © Am J Case Rep, 2012 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. |
spellingShingle | Case Report Olmez, Aydemir Hatipoglu, Sinan Itik, Veyis Kotan, Cetin T-tube bridging for the management of biliary tree injuries |
title | T-tube bridging for the management of biliary tree injuries |
title_full | T-tube bridging for the management of biliary tree injuries |
title_fullStr | T-tube bridging for the management of biliary tree injuries |
title_full_unstemmed | T-tube bridging for the management of biliary tree injuries |
title_short | T-tube bridging for the management of biliary tree injuries |
title_sort | t-tube bridging for the management of biliary tree injuries |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3615961/ https://www.ncbi.nlm.nih.gov/pubmed/23569540 http://dx.doi.org/10.12659/AJCR.883499 |
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