Safety Surgery in Laparoscopıc Cholesistectomy
Bile duct injuries are the most frightening complications in laparoscopic cholecystectomy surgery. It is thought that incomplete surgical field dissection causes these situations. In this case, cholelithiasis and minimal intrahepatic biliary duct dilatation were determined on ultrasonography. None...
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Galenos Yayinevi
2017-09-01
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doaj-58ef1ffc462a4a41889fbd8d65bfdd252020-11-25T02:47:52ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882017-09-0155323523810.4274/haseki.87587Safety Surgery in Laparoscopıc CholesistectomySerhan DericiAli Kadir DeğirmenciAli Durubey Çevlik Bile duct injuries are the most frightening complications in laparoscopic cholecystectomy surgery. It is thought that incomplete surgical field dissection causes these situations. In this case, cholelithiasis and minimal intrahepatic biliary duct dilatation were determined on ultrasonography. None of biliary duct variation was determined on magnetic resonance cholangiopancreatography (MRCP). According to these results, it was decided to perform laparoscopic cholecystectomy. Surgery was performed according to the “Critical View of Safety” principles. Thus, the accessory bile duct could be seen and surgery was completed without any complication. It was aimed to demonstrate that the “Critical View of Safety” principles can prevent ductal complications in situations where preoperative MRCP cannot determine bile duct anomalies. Sensitivity of preoperative tests is not 100% for biliary duct anomalies. Therefore, to prevent bile duct injuries, we should perform laparoscopic cholecystectomy according to the “Critical View of Safety” principles for all patients.http://www.hasekidergisi.com/article_15436/Safety-Surgery-In-Laparoscopic-CholesistectomyBiliary duct injuryCritical View of Safetylaparoscopic cholecystectomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Serhan Derici Ali Kadir Değirmenci Ali Durubey Çevlik |
spellingShingle |
Serhan Derici Ali Kadir Değirmenci Ali Durubey Çevlik Safety Surgery in Laparoscopıc Cholesistectomy Haseki Tıp Bülteni Biliary duct injury Critical View of Safety laparoscopic cholecystectomy |
author_facet |
Serhan Derici Ali Kadir Değirmenci Ali Durubey Çevlik |
author_sort |
Serhan Derici |
title |
Safety Surgery in Laparoscopıc Cholesistectomy |
title_short |
Safety Surgery in Laparoscopıc Cholesistectomy |
title_full |
Safety Surgery in Laparoscopıc Cholesistectomy |
title_fullStr |
Safety Surgery in Laparoscopıc Cholesistectomy |
title_full_unstemmed |
Safety Surgery in Laparoscopıc Cholesistectomy |
title_sort |
safety surgery in laparoscopıc cholesistectomy |
publisher |
Galenos Yayinevi |
series |
Haseki Tıp Bülteni |
issn |
1302-0072 2147-2688 |
publishDate |
2017-09-01 |
description |
Bile duct injuries are the most frightening complications in laparoscopic cholecystectomy surgery. It is thought that incomplete surgical field dissection causes these situations. In this case, cholelithiasis and minimal intrahepatic biliary duct dilatation were determined on ultrasonography. None of biliary duct variation was determined on magnetic resonance cholangiopancreatography (MRCP). According to these results, it was decided to perform laparoscopic cholecystectomy. Surgery was performed according to the “Critical View of Safety” principles. Thus, the accessory bile duct could be seen and surgery was completed without any complication. It was aimed to demonstrate that the “Critical View of Safety” principles can prevent ductal complications in situations where preoperative MRCP cannot determine bile duct anomalies. Sensitivity of preoperative tests is not 100% for biliary duct anomalies. Therefore, to prevent bile duct injuries, we should perform laparoscopic cholecystectomy according to the “Critical View of Safety” principles for all patients. |
topic |
Biliary duct injury Critical View of Safety laparoscopic cholecystectomy |
url |
http://www.hasekidergisi.com/article_15436/Safety-Surgery-In-Laparoscopic-Cholesistectomy |
work_keys_str_mv |
AT serhanderici safetysurgeryinlaparoscopıccholesistectomy AT alikadirdegirmenci safetysurgeryinlaparoscopıccholesistectomy AT alidurubeycevlik safetysurgeryinlaparoscopıccholesistectomy |
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