Skip to main content
Log in

Treatment of iatrogenic common bile duct injury during laparoscopic cholecystectomy through the laparoscopic insertion of a T-tube stent

  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Summary

Iatrogenic injury to the common bile duct during laparoscopic cholecystectomy has previously necessitated an immediate laparotomy to alleviate bile leakage. In the course of 171 laparoscopic cholecystectomies performed at our hospital, intraoperative common bile duct injuries occurred in 2 patients. Each case was successfully treated using a laparoscopically placed T-tube, thus avoiding the need for a laparotomy. This novel intraoperative procedure successfully treated common bile duct injuries without resulting in postoperative complications.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Cameron JL, Gadacz TR (1991) Laparoscopic cholecystectomy. Ann Surg 213:1–2

    Article  PubMed  CAS  Google Scholar 

  2. Cuschiefi A, Berci G, McSherry CK (1990) Laparoscopic cholecystectomy (Editorial). Am J Surg 159:273

    Article  Google Scholar 

  3. Cuschieri A, Dubois F, Mouiel J, Mouret P, Becker H, Buess G, Trede M, Troidl H (1991) The European experience with laparoscopic cholecystectomy. Am J Surg 161:385–387

    Article  PubMed  CAS  Google Scholar 

  4. Dubois F (1990) Coelioscopic cholecystectomy. Endoskopie heute 1: 30–32

    Google Scholar 

  5. Dubois F, Berthelot G, Levard H (1989) Cholécystectomie par coelioscopie. Presse Med 18: 980–982

    PubMed  CAS  Google Scholar 

  6. Dubois F, Icard P, Berthelot G, Levard H (1990) Coelioscopic cholecystectomy: preliminary report of 36 cases. Ann Surg 211: 60–62

    Article  PubMed  CAS  Google Scholar 

  7. Frei E, Middendorp J, Klaiber C, Akovbiantz A (1990) Die laparoskopische Cholecystektomie — Resultate der ersten 100 Fälle. Schweiz Rundsch Med Prax 79: 1598–1602

    PubMed  CAS  Google Scholar 

  8. Gadacz TR, Talamini MA, Lillemoe KD, Yeo CJ (1990) Laparoscopic cholecystectomy. Snrg Clin North Am 70: 1249–1262

    CAS  Google Scholar 

  9. Griffith DP, Rubio PA, Gleeson MJ (1990) Percutaneous endoscopic treatment of cholelithiasis. Surg Endosc 4:141–149

    Article  PubMed  CAS  Google Scholar 

  10. Klaiber C, Z’Graggen K, Metzger A, Leepin H (1990) Die laparoskopische Cholecystektomie. Unsere Erfahrungen in 20 Fallen. Schweiz Rundsch Med Prax 79: 787–790

    PubMed  CAS  Google Scholar 

  11. Langenbuch C (1882) Ein Fall von Exstirpation der Gallenblase wegen chronischer Cholecystolithiasis. Heilung. Berl Klin Wo-chenschr 19:725–727

    Google Scholar 

  12. McSherry CK (1989) Cholecystectomy: the gold standard. Am J Surg 158:174–178

    Article  PubMed  CAS  Google Scholar 

  13. Mtihe E (1986) The first laparoscopic cholecystectomy. Langenbecks Arch Chir 369:804

    Google Scholar 

  14. Perissat J, Collet D, Belliard R (1990) Gallstones. Laparoscopic treatment - cholecystectomy, cholecystostomy and lithotripsy. Our own technique. Surg Endosc 4: 1–5

    Article  PubMed  CAS  Google Scholar 

  15. Peters JH, Ellison EC, Innes JT, Liss JL, Nichols KE, Lomano JM, Roby SR, Front ME, Carey LC (1991) Safety and efficacy of laparoscopic cholecystectomy. A prospective analysis of 100 initial patients. Ann Surg 213:3 - 12

    Article  PubMed  CAS  Google Scholar 

  16. Phillips EH, Berci G, Carroll B, Daykhovsky L, Sackier J, Paz-Partlow M (1990) The importance of intraoperative cholangiography during laparoscopic cholecystectomy. Ann Surg 56:792–795

    CAS  Google Scholar 

  17. Raute M, Schaupp W (1988) Iatrogene Sch~iden an den Gallenwegen infolge Cholecystektomie. Behandlung und Ergebnisse. Langen-becks Arch Chit 373:345

    Article  CAS  Google Scholar 

  18. Reddick EJ, Olsen DO (1989) Laparoscopic laser cholecystectomy: a comparison with mini-lap cholecystectomy. Surg Endosc 3: 131–133

    Article  PubMed  CAS  Google Scholar 

  19. Tompkins RK (1990) Laparoscopic cholecystectomy. Threat or opportunity? Arch Surg 125:1245

    PubMed  CAS  Google Scholar 

  20. Trede M, Schaupp W (1990) Ein Pläidoyer für die Cholecystektomie “Gold-Standard” der Gallensteintherapie. Chirurg 61: 365 - 369

    PubMed  CAS  Google Scholar 

  21. Trede M, Saeger HD, Schaupp W, Petermann C (1991) Laparoskopische Cholecystektomie. Dtsch Med Wochenschr 116: 219–222

    Article  PubMed  CAS  Google Scholar 

  22. Ungeheuer E, Schröder D (1989) Cholecystolithiasis: Was tun? Dtsch, Ärztebl 86:2645 -2649

    Google Scholar 

  23. Zucker KA, Bailey RW, Gadacz TR, Imbembo AL (1991) Laparoscopic guided cholecystectomy. Am J Surg 161:36–42

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lepsien, G., Lüdtke, F.E., Neufang, T. et al. Treatment of iatrogenic common bile duct injury during laparoscopic cholecystectomy through the laparoscopic insertion of a T-tube stent. Surg Endosc 5, 119–122 (1991). https://doi.org/10.1007/BF02653216

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02653216

Key words

Navigation