[Severe complications after cholecystectomy by celioscopy: lessons from yesterday and today]

J Chir (Paris). 1993 May;130(5):215-7.
[Article in French]

Abstract

The case of a series of grave complications after a laparoscopic cholecystectomy is reported: a common bile duct section diagnosed rather late, hemoperitoneum, inappropriate common bile duct reconstruction and late anastomic leakage, stenosis of an hepatico-jejunal anastomosis, haemorrhage through the external biliary drainage and iterating sepsis. The final outcome was good. The stenotic hepatico-jejunal anastomosis was dilated by a Gianturco self-expanding prosthesis percutaneously placed. As an evidence, this alternative treatment is only exceptional, the treatment of choice for postsurgical benign strictures being surgical repair.

Publication types

  • Case Reports

MeSH terms

  • Anastomosis, Surgical
  • Biliary Fistula / etiology
  • Biliary Fistula / surgery
  • Cholangiography
  • Cholecystectomy, Laparoscopic / adverse effects*
  • Common Bile Duct Diseases / etiology*
  • Common Bile Duct Diseases / surgery
  • Hemobilia / etiology*
  • Hemobilia / surgery
  • Humans
  • Jejunum / diagnostic imaging
  • Jejunum / surgery
  • Liver / diagnostic imaging
  • Liver / surgery
  • Male
  • Middle Aged
  • Peritonitis / etiology*
  • Postoperative Complications