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Can bile duct injuries be prevented? "A new technique in laparoscopic cholecystectomy" by Selim Yavuz Sari; Vahit Tunali; Kamer Tomaoglu; Binnur Karagöz; Ayhan Güneyİ; İbrahim KaragöZ is a Medicine article available to read on EtoBox.
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## Background Over the last decade, laparoscopic cholecystectomy has gained worldwide acceptance and considered to be as "gold standard" in the surgical management of symptomatic cholecystolithiasis. However, the incidence of bile duct injury in laparoscopic cholecystectomy is still two times greater compared to classic open surgery. The development of bile duct injury may result in biliary cirrhosis and increase in mortality rates. The mostly blamed causitive factor is the misidentification of the anatomy, especially by a surgeon who is at the beginning of his learning curve. Biliary tree injuries may be decreased by direct coloration of the cystic duct, ductus choledochus and even the gall bladder. ## Methods gall bladder fundus was punctured by Veress needle and all the bile was aspirated. The same amount of fifty percent methylene blue diluted by saline solution was injected into the gall bladder for coloration of biliary tree. The dissection of Calot triangle was much more safely performed after obtention of coloration of the gall bladder, cystic duct and choledocus. ## Results Between October 2003 and December 2004, overall 46 patients (of which 9 males) with a mean age of 47
Who reads Can bile duct injuries be prevented? "A new technique in laparoscopic cholecystectomy"?
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- Author
- Selim Yavuz Sari; Vahit Tunali; Kamer Tomaoglu; Binnur Karagöz; Ayhan Güneyİ; İbrahim KaragöZ
- Publisher
- BioMed Central; Springer (Biomed Central Ltd.); London: BioMed Central, 2001-; Springer Science and Business Media LLC (ISSN 1471-2482)
- Published
- 2005
- Language
- EN
- Field
- Medicine (Health Sciences)