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dc.contributor.authorThawatchai Akaraviputhen_US
dc.contributor.authorWiroon Boonnuchen_US
dc.contributor.authorVarut Lohsiriwaten_US
dc.contributor.authorAsada Methasateen_US
dc.contributor.authorVitoon Chinswangwatanakulen_US
dc.contributor.authorNarong Lert-akayamaneeen_US
dc.contributor.authorDarin Lohsiriwaten_US
dc.contributor.otherMahidol Universityen_US
dc.identifier.citationJournal of the Medical Association of Thailand. Vol.89, No.5 (2006), 657-662en_US
dc.description.abstractObjective: Bile Duct Injury (BDI) is one of the most serious complications of cholecystectomy. The authors analyzed the clinical presentation, surgical management and long-term outcome of 19 patients presenting with iatrogenic major BDIs (Straburg type E) following cholecystectomy who underwent Roux-en-Y hepaticojejunostomy. Material and Method: Between 1992 and 2005, 19 patients with major BDIs (Strasberg type E) following cholecystectomy were included. Operative notes and charts of all patients were reviewed systematically. A follow-up examination of each patient was performed after a median of 22 months (range 1-120). Results: Twelve patients presented with ascending cholangitis, two patients were referred to the hospital with biliary-cutaneous fistula and five patients (26.3%) were identified at the time of operations. All patients were treated with Roux-en-Y hepaticojejunostomy with at least 2 cm of the diameter of the biliary-enteric anastomosis. There was no postoperative mortality. Postoperative complication was found in 5 patients (26.3%). Until now, during the follow-up, neither clinical nor biochemical evidence of recurrent cholangitis has been found. Conclusion: Major BDIs are associated with high morbidity rate and prolonged hospitalization. Early detection and referral to an experienced center is crucial in the management of these patients. Roux-en-Y hepaticojejunostomy with large diameter of the biliary-enteric anastomosis is the surgical procedure of choice with good long-term outcome.en_US
dc.rightsMahidol Universityen_US
dc.titleLong-term results of large diameter hepaticojejunostomy for treatment of bile duct injuries following cholecystectomyen_US
Appears in Collections:Scopus 2006-2010

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