RESTORATIVE AND RECONSTRUCTIVE OPERATIONS FOR IATROGENIC INJURY TO EXTRAHEPATIC BILE DUCTS
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Abstract
Presented Results of treatment of 102 patients with intraoperative bile duct injuries. Bile duct injuries during CE were 1.3% and were observed during LCE in 2/3 of cases, with 59.8% of cases involving peripheral bile duct injuries and 48.2% involving main bile duct injuries. High Roux -en-Y GEA using precision equipment is the operation of choice for intraoperative CE intersection and excision. Reconstructive surgeries are indicated for marginal CE injury; BBA and GDA application are not recommended due to the high risk of anastomotic strictures.
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