Biliary tract injuries

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• 作者：Poras Chaudhary ; Rajeev Kumar ; Mohinder P. Arora
• 关键词：Traumatic biliary tract injuries ; iatrogenic biliary tract injuries ; initial damage control drainage procedure ; definitive reconstructive surgery
• 刊名：Hellenic Journal of Surgery
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：87
• 期：2
• 页码：149-155
• 全文大小：797 KB
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• 作者单位：Poras Chaudhary (1)
  Rajeev Kumar (1)
  Mohinder P. Arora (1)
  
  1. Lady Hardinge medical college, New Delhi, India
  
• 刊物主题：Surgery;
• 出版者：Springer Vienna
• ISSN：1868-8845

文摘

Injury to the extrahepatic biliary tract occurs frequently due to damage inflicted during upper abdominal operations, cholecystectomy being the commonest situation followed by other upper abdominal surgeries, and less often due to blunt or penetrating abdominal injury. Most traumatic extrahepatic biliary tract injuries are caused by penetrating trauma and are usually discovered during laparotomy. Diagnosis is made by noting the accumulation of bile in the upper quadrant. The gallbladder is the most commonly injured structure. Regardless of the type of biliary injury and/or management, wide and adequate drainage is essential. Any upper abdominal operation can result in biliary tract injuries. Cholecystectomy is the procedure most implicated in biliary tract injuries because it is one of the most common elective surgeries performed worldwide. If not managed properly, bile duct injuries can lead to life-threatening complications. Identification and management of biliary tract injuries demand precise judgement, expertise, timely and appropriate intervention and prevention of complications. This study aims to present detailed information and an update on biliary tract injuries.