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Laparoscopic cholecystectomy - Basic rules - Bile duct injury

Epublication WebSurg.com, Mar 2019;19(03). URL: http://websurg.com/doi/lt03en16415

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  • 1899
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  • 2019-03-01
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There is twice as much risk of incidental biliary injuries in laparoscopic cholecystectomy than in open cholecystectomy. About half of surgeons will cause a bile duct injury during their careers. In this lecture, Dr. Dallemagne provides key national data of bile duct injury and explains that the lack of surgical experience or visual misperception leads to an increase in the rate of incidental injuries, mentioning his own cases. Dr. Dallemagne also outlines the fundamental techniques to prevent injuries and use bailout procedures (partial and subtotal cholecystectomy) in laparoscopic cholecystectomy, according to the latest version of the Tokyo guidelines.