Author/Editor		Gadžijev, Eldar; Ðokić, Mihajlo; Hazabent, Marko; Potrč, Stojan
Title		Poškodbe žolčnih vodov pri holecistektomiji v Sloveniji (5-letna analiza)
Translated title		Bile duct injuries during cholecystectomy in Slovenia (5-years analysis)
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 76, št. 6
Publication year		2007
Volume		str. 405-14
Language		slo
Abstract		Background. Injuries to bile duct system occur during the operation or as a consequence of the operation. Injuries during cholecystectomy are important cause for morbidity. They are the cause for prolonged treatment, higher cost of treatment and diminished life quality of patients. Frequency of bile duct injury during laparoscopic cholecystectomy is still almost twice as high as during classic cholecystectomy. Conclusions. Mode and type of bile duct injury, clinical manifestation, reasonable diagnostic procedures as well as principals of surgical treatment are systematically given in the article. Three classifications mostly used in the clinical practice are presented. Then a national study of bile duct lesions is presented for a period 2001-2005. Finally the principals of prevention of bile lesions at cholecystectomy are presented.
Summary		Izhodišča. Poškodbe žolčnega sistema so klinično prepoznavne poškodbe, ki nastanejo med operacijo ali kot posledica operacije. Poškodbe pri holecistektomiji so vzrok za pomembno obolevnost operiranih. To pomeni podaljšano zdravljenje, večje stroške zdravljenja in slabšo kakovost življenja bolnikov. Pogostnost poškodb žolčevodov pri laparoskopski holecistektomiji je še vedno skoraj dvakrat višja kot pri odprti holecistektomiji. Zaključki. Sistemsko smo prikazali način in vrsto poškodbe žolčnih vodov, klinično sliko, smiselno diagnostično obdelavo ter načela kirurškega zdravljenja žolčnih vodov. Predstavili smo tri najpogosteje uporabljene klasifikacije poškodb žolčnih vodov. Nato smo podali rezultate epidemiološke študije poškodb v slovenskih bolnišnicah za obdobje od 2001 do vključno 2005. Na koncu smo predstavili tudi možnosti preprečevanja poškodb žolčnih vodov pri holecistektomijah.
Descriptors		BILE DUCTS CHOLECYSTECTOMY INTRAOPERATIVE COMPLICATIONS LAPAROSCOPY