Lesão complexa da via biliar principal: a ligadura como opção associada a colecistojejunostomia

Detalhes bibliográficos
Autor(a) principal: Starling,Sizenando Vieira
Data de Publicação: 2003
Outros Autores: Abrantes,Wilson Luís
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista do Colégio Brasileiro de Cirurgiões
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912003000300014
Resumo: The authors present a case of distal common bile duct injury. Ligation of the bile duct and a bypass cholecystojejunostomy were chosen as treatment. Diagnosis of blunt traumatic injury to the extrahepatic biliary ducts may be difficult due to the benign nature of initial bile peritonitis. Surgical treatment for associated abdominal injuries usually makes the diagnosis possible. One of the challenges in the treatment of these injuries relates to the small diameter of the, usually, normal common bile duct. Primary repair and T tube drainage is the best option for non-complex injuries. End-to-end anastomosis and, preferentially, biliary-enteric anastomosis are the best surgical options for more complex injuries. Severe injuries have high complication rates, especially when the distal portion of the common bile duct is affected. Early leaks and late strictures are likely to develop in these situations. Cholecistojejunostomy and ligation of the injuried common bile duct are good surgical options for complex injuries. They carry a low complication rate and consequently low morbidity.
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spelling Lesão complexa da via biliar principal: a ligadura como opção associada a colecistojejunostomiaCommon bile duct,Extrahepatic biliary/injuriesThe authors present a case of distal common bile duct injury. Ligation of the bile duct and a bypass cholecystojejunostomy were chosen as treatment. Diagnosis of blunt traumatic injury to the extrahepatic biliary ducts may be difficult due to the benign nature of initial bile peritonitis. Surgical treatment for associated abdominal injuries usually makes the diagnosis possible. One of the challenges in the treatment of these injuries relates to the small diameter of the, usually, normal common bile duct. Primary repair and T tube drainage is the best option for non-complex injuries. End-to-end anastomosis and, preferentially, biliary-enteric anastomosis are the best surgical options for more complex injuries. Severe injuries have high complication rates, especially when the distal portion of the common bile duct is affected. Early leaks and late strictures are likely to develop in these situations. Cholecistojejunostomy and ligation of the injuried common bile duct are good surgical options for complex injuries. They carry a low complication rate and consequently low morbidity.Colégio Brasileiro de Cirurgiões2003-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912003000300014Revista do Colégio Brasileiro de Cirurgiões v.30 n.3 2003reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/S0100-69912003000300014info:eu-repo/semantics/openAccessStarling,Sizenando VieiraAbrantes,Wilson Luíspor2008-09-15T00:00:00Zoai:scielo:S0100-69912003000300014Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2008-09-15T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false
dc.title.none.fl_str_mv Lesão complexa da via biliar principal: a ligadura como opção associada a colecistojejunostomia
title Lesão complexa da via biliar principal: a ligadura como opção associada a colecistojejunostomia
spellingShingle Lesão complexa da via biliar principal: a ligadura como opção associada a colecistojejunostomia
Starling,Sizenando Vieira
Common bile duct,
Extrahepatic biliary/injuries
title_short Lesão complexa da via biliar principal: a ligadura como opção associada a colecistojejunostomia
title_full Lesão complexa da via biliar principal: a ligadura como opção associada a colecistojejunostomia
title_fullStr Lesão complexa da via biliar principal: a ligadura como opção associada a colecistojejunostomia
title_full_unstemmed Lesão complexa da via biliar principal: a ligadura como opção associada a colecistojejunostomia
title_sort Lesão complexa da via biliar principal: a ligadura como opção associada a colecistojejunostomia
author Starling,Sizenando Vieira
author_facet Starling,Sizenando Vieira
Abrantes,Wilson Luís
author_role author
author2 Abrantes,Wilson Luís
author2_role author
dc.contributor.author.fl_str_mv Starling,Sizenando Vieira
Abrantes,Wilson Luís
dc.subject.por.fl_str_mv Common bile duct,
Extrahepatic biliary/injuries
topic Common bile duct,
Extrahepatic biliary/injuries
description The authors present a case of distal common bile duct injury. Ligation of the bile duct and a bypass cholecystojejunostomy were chosen as treatment. Diagnosis of blunt traumatic injury to the extrahepatic biliary ducts may be difficult due to the benign nature of initial bile peritonitis. Surgical treatment for associated abdominal injuries usually makes the diagnosis possible. One of the challenges in the treatment of these injuries relates to the small diameter of the, usually, normal common bile duct. Primary repair and T tube drainage is the best option for non-complex injuries. End-to-end anastomosis and, preferentially, biliary-enteric anastomosis are the best surgical options for more complex injuries. Severe injuries have high complication rates, especially when the distal portion of the common bile duct is affected. Early leaks and late strictures are likely to develop in these situations. Cholecistojejunostomy and ligation of the injuried common bile duct are good surgical options for complex injuries. They carry a low complication rate and consequently low morbidity.
publishDate 2003
dc.date.none.fl_str_mv 2003-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv 10.1590/S0100-69912003000300014
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dc.publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
dc.source.none.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões v.30 n.3 2003
reponame:Revista do Colégio Brasileiro de Cirurgiões
instname:Colégio Brasileiro de Cirurgiões (CBC)
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reponame_str Revista do Colégio Brasileiro de Cirurgiões
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repository.name.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)
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