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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...

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Autores principales: Olmez, Aydemir, Hatipoglu, Sinan, Itik, Veyis, Kotan, Cetin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2012
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.
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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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