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العنوان
Management of Operative Bile Duct Injury/
الناشر
Ain Shams University. Faculty of medicine. Department of general surgery,
المؤلف
Hassan, Eslam Mohammady
هيئة الاعداد
باحث / Eslam Mohammady Hassan
مشرف / Hussein Abdel Alim Boshnak
مشرف / Ahmed Alaa El Din Abdel Mageed
مشرف / Mohamed Ali Nada
تاريخ النشر
2007 .
عدد الصفحات
99 p.
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
1/1/2007
مكان الإجازة
جامعة عين شمس - كلية الطب - general surgery
الفهرس
Only 14 pages are availabe for public view

from 105

from 105

Abstract

Bile duct injury has been recognized as a serious complication of cholecystectomy and its occurrence has been highlighted with the introduction of laparoscopic surgery(Roslyn 1995). Laparoscopic cholecystectomy increased the incidence of bile duct injury to be 0.4-0.7% where it was 0.2% in open technique(Melton 2007). A number of technical factors are associated with
laparoscopic cholecystectomy and appear to increase the risk of bile duct injury compared to open surgery, these factors include the use of end-viewing laparoscope that alters the surgeon’ s perspective of operative field.(Lillemoe 2001). Excessive traction on the gallbladder fundus can cause the cystic duct and the common bile duct to be aligned in the same plane. this distortion often results in the ”classic laparoscopic injury”, inflammation of gallbladder , physician inexperience to identify the anatomy or inexperience in usage of diathermy in Calot’ s triangle, short cystic duct….have been implicated as causes of this occurrence.(Lillemoe 2001).