http://www.cnr.it/ontology/cnr/individuo/prodotto/ID7394

Advantages of multidisciplinary management of bile duct injuries occurring during cholecystectomy (Articolo in rivista)

Type

Articolo in rivista (Classe)
Prodotto della ricerca (Classe)

Label

Advantages of multidisciplinary management of bile duct injuries occurring during cholecystectomy (Articolo in rivista) (literal)

Anno

2008-01-01T00:00:00+01:00 (literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#doi

10.1016/j.amjsurg.2007.05.046 (literal)

Alternative label

Nuzzo, G.; Giuliante, F.; Giovannini, I.; Murazio, M.; D'Acapito, F.; Ardito, F.; Vellone, M.; Gauzolino, R.; Costamagna, G.; Di Stasi, C. (2008)
Advantages of multidisciplinary management of bile duct injuries occurring during cholecystectomy
in The American journal of surgery; ELSEVIER, NEW YORK (Stati Uniti d'America)
(literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori

Nuzzo, G.; Giuliante, F.; Giovannini, I.; Murazio, M.; D'Acapito, F.; Ardito, F.; Vellone, M.; Gauzolino, R.; Costamagna, G.; Di Stasi, C. (literal)

Pagina inizio

763 (literal)

Pagina fine

769 (literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#altreInformazioni

This is one of the best known journals of general surgery, easily availbale on line or in printed form. (literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#url

http://ac.els-cdn.com/S0002961008000846/1-s2.0-S0002961008000846-main.pdf?_tid=e9eb54177867114d9f51be040fb1d62b&acdnat=1335516327_0d617f5e9e8bd03d3c872b0e9342bdcf (literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroVolume

195 (literal)

Rivista

?The ?American journal of surgery (Rivista)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#pagineTotali

7 (literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroFascicolo

6 (literal)

Note

PubMe (literal)
Scopu (literal)
ISI Web of Science (WOS) (literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni

Dept of Surgical Sciences, Hepatobiliary Surgery Unit, Catholic University, Rome, Italy (literal)

Titolo

Advantages of multidisciplinary management of bile duct injuries occurring during cholecystectomy (literal)

Abstract

BACKGROUND: The aim of the present study was to highlight the advantages of treatment of bile duct injury (BDI) occurring during cholecystectomy on the basis of a multidisciplinary cooperation of expert surgeons, radiologists, and endoscopists. METHODS: Sixty-six patients had major BDIs or short- or long-term failures of repair. BDI was diagnosed intraoperatively in 27 patients (40.9%) and postoperatively in 39 (59.1%) patients. Among referred patients, 30 had complications from bile leak, 15 from obstructive jaundice, and 20 from recurrent cholangitis. Two patients died from sepsis after delayed referral before repair was attempted. Eleven additional patients had minor BDIs with bile leak both with and without choleperitoneum. RESULTS: Of patients with major BDI, surgical repair was performed in 41 (64.1%). Postsurgical morbidity rate was 15.8%, and there was no mortality. The rate of excellent or good results after surgical repair was 78.0% (32 of 41 patients), and this increased to 87.8% (36 of 41 patients) by continuing treatment with stenting in postsurgical strictures. Biliary stenting alone was performed in 23 patients (35.9%), with excellent or good results in 17 (73.9%). More than 200 endoscopic and percutaneous procedures were performed for initial assessment, treatment of sepsis, nonsurgical repair, contribution to repair, and follow-up. Patients with minor BDIs underwent various combinations of surgical and endoscopic or percutaneous treatments, always with good results. CONCLUSIONS: A multidisciplinary approach was of paramount importance in many phases of treatment of BDI: initial assessment, treatment of secondary complications, resolution of sepsis, percutaneous stenting before surgical repair, dilatation of strictures after repair, final treatment in patients not repaired surgically, and follow-up. (literal)

Editore