Management of Bile Duct Injury at Various Stages of Presenta
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Abstract :
The clinical presentation, management and outcome of all patients with bile duct injury who presented to our tertiary care centre at various stages after cholecystectomy were analyzed. The patients were categorized into three groups: group A–patients in whom the injury was detected during cholecystectomy, group B–patients who presented within 2 weeks of cholecystectomy and group C–patients who presented after 2 weeks of cholecystectomy. Our team acted as rescue surgeons and performed ‘on-table’ repair for injuries occurring in another unit or in another hospital. Strasberg classification of bile duct injury was followed. In group A, partial and complete transections were managed by repair over T-tube and high hepaticojejunostomy, respectively. Patients in group B underwent endoscopic retrograde cholangiogram and/or magnetic resonance cholangiogram to evaluate the biliary tree......

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4484527/
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