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Middle East Journal of Digestive Diseases، جلد ۱۴، شماره ۴، صفحات ۴۷۳-۴۷۷
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چکیده فارسی مقاله
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عنوان انگلیسی Laparoscopy-Assisted Endoscopic Retrograde Cholangiopancreatography: New Insight in Management of Iatrogenic Bile Duct Injury
چکیده انگلیسی مقاله Bile duct injury (BDI) is a severe and sometimes life-threatening complication of cholecystectomy. Several series have described a 0.5% to 0.6% incidence of BDI during laparoscopic cholecystectomy. We received an emergency call from the operating theater by the surgery team to assess an iatrogenic BDI in a 58-year-old man with cirrhosis who presented for laparoscopic cholecystectomy. After many trials by endoscopic retrograde cholangiopancreatography (ERCP) the guide wire passed to the peritoneal cavity and failed to pass proximally. Laparoscopy resumed, and the surgeon tried to pass the flexible guide wire proximally unsuccessfully. Then, a decision to hold the sphincterotome by laparoscopy and passing it proximally in harmony with ERCP was taken, which was successful. A regular ERCP with 10F plastic stent insertion was carried out, and the perforation was secured by the inserted stent without any further surgical intervention. Laparoscopy-assisted ERCP may give new insights into the immediate repair of iatrogenic bile duct injuries.
کلیدواژه‌های انگلیسی مقاله Laparoscopy,ERCP,CBD,Iatrogenic,Sphincterotome
نویسندگان مقاله | Mohamed H Emara


| Hassan E. Elbatae


| Reda F Ali


| Mohammed H.Ahmed


| Mohamed Said Radwan


| Abdulhamid Elhawary


نشانی اینترنتی http://mejdd.org/index.php/mejdd/article/view/2526
فایل مقاله فایلی برای مقاله ذخیره نشده است
کد مقاله (doi) 10.15171/middle east j di.v14i4.2526
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده Case Report
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