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©2007 Baishideng Publishing Group Co.
World J Gastroenterol. Apr 28, 2007; 13(16): 2374-2378
Published online Apr 28, 2007. doi: 10.3748/wjg.v13.i16.2374
Published online Apr 28, 2007. doi: 10.3748/wjg.v13.i16.2374
Table 1 Classification of iatrogenic bile duct injuries (n = 210)
| Type | n (%) | Length | n (%) | Diameter | n (%) | Factors | n (%) |
| I | 4 (1.9) | < 3 cm | 63 (30.0) | > 3 mm | 189 (90.0) | Ligature | 3 (1.4) |
| II | 3 (1.4) | > 3 cm | 132 (62.9) | < 3 mm | 12 (5.7) | Scissors | 156 (74.3) |
| III | 161 (76.7) | Unidentified | 15 (7.1) | Unidentified | 9 (4.3) | Diathermy | 46 (21.4) |
| IV | 9 (4.3) | Misapplied clips | 1 (0.05) | ||||
| V | 3 (1.4) | Unidentified | 5 (2.4) | ||||
| VI1 | 4 (1.9) | ||||||
| VI2 | 5 (2.4) | ||||||
| VI3 | 10 (4.8) | ||||||
| Unidentified | 11 (5.2) |
Table 2 Imaging examination in diagnosis of BDI
| Imaging | n | Diagnosed injuries (%) |
| BUS | 149 | 126 (84.6) |
| CT | 124 | 103 (83.1) |
| PTC | 20 | 6 (30.0) |
| ERCP | 53 | 36 (67.9) |
| ERCP + PTC | 7 | 3 (42.9) |
| MRC | 45 | 45 (100.0) |
| T tube cholangiography | 28 | 10 (35.7) |
| Fistula cholangiography | 20 | 9 (45.0) |
Table 3 Repair of iatrogenic bile duct injuries (n = 210)
| Type of repair | Diagnosedduringoperation(n = 61) | Recognizedin earlystage(n = 106) | Recognizedin latestage(n = 43) |
| RHD injury repair + T tube drainage | 3 | ||
| Roux-en-Y hepaticojejunostomy | 48 | 103 | 36 |
| End-to-end anastomosis + T tube drainage | 4 | 6 | |
| Releasing ligation + T tube drainage | 3 | ||
| RHD and/or LHD drainage to outside | 6 | ||
| Liver lobectomy + hepaticojejunostomy | 2 |
- Citation: Wu JS, Peng C, Mao XH, Lv P. Bile duct injuries associated with laparoscopic and open cholecystectomy: Sixteen-year experience. World J Gastroenterol 2007; 13(16): 2374-2378
- URL: https://www.wjgnet.com/1007-9327/full/v13/i16/2374.htm
- DOI: https://dx.doi.org/10.3748/wjg.v13.i16.2374