Avtor/Urednik     Štor, Zdravko
Naslov     Vloga ERCP pri reševanju zapletov po laparoskopski holecistektomiji - naše izkušnje
Prevedeni naslov     The role of ERCP in resolving complications after LH - our experience
Tip     članek
Vir     In: Jelenc F, editor. Zbornik simpozija Kirurgija žolčnika in žolčevodov; 2003 okt; Ljubljana. Ljubljana: Klinični center, Klinični oddelek za abdominalno kirurgijo,
Leto izdaje     2003
Obseg     str. 149-55
Jezik     slo
Abstrakt     Background. Laparoscopic cholecystectomy (LH) is the metode of choice in treatment of symptomatic gallblader stones. However, compared with classical cholecystectomy, the incidence of injury to the bile duct seems to be increased in LH. Injuries to the bile duct are a serious, potentially life-threatening, problem which prolong hospitalisation. Patients and methods. We performed 3339 LH from 1.1.1991 to 31.12.2002 at the Department of the abdominal surgery in Klinical center Zaloška l. In 29 patients we per formed ERCP. Results. We performed EPT in 16 (55,2%) patients after ERCP: in 3 (10,3%) patients because of a wide cystic duct, in 8(27,8%) patients due to retained stones , and in 5 (7,2%) patients due to leakage after ERCP. A surprisingly high number of patients had 11(37,9%)) normal ERCP. Conclusion. When suspecting bile duct injury after LH ERCP should be considered the meiode of choice. It is a suitable diagnostic and therapeutic procedure. Endoscopic managment is the treatment of choice of postholecystectomy bile leakage.
Deskriptorji     CHOLELITHIASIS
CHOLECYSTECTOMY, LAPAROSCOPIC
BILE DUCTS
POSTOPERATIVE COMPLICATIONS
CHOLANGIOPANCREATOGRAPHY, ENDOSCOPIC RETROGRADE