지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.9
- 수록면
- 189 - 193 (5page)
이용수
초록· 키워드
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Laparoscopic cholecystectomy has resulted in various bile duct injuries. Treatment of these injuries is usually difficult and often leads to an intractable clinical course. We herein present a case of isolated right anterior sector (RAS) duct injury induced by laparoscopic cholecystectomy. The bile duct injury was successfully treated by hepatic atrophy induction. Imaging studies revealed that the RAS duct was severed, probably due to rare anatomical variations. Considering the difficulty in surgical reconstruction, atrophy induction of the involved hepatic parenchyma was attempted. This treatment consisted of embolization of the RAS portal branch to inhibit bile production, induction of heavy adhesion at the bile leak site to ensure percutaneous pigtail clamping, and sequential clamping and removal of pigtail catheters. This procedure took 3 months prior to pigtail catheter removal. She was free from other complications during the first 12 months and to date. She will be followed up for 5 years overall including surveillance for hepatobiliary complications. Although this therapeutic induction of atrophy approach is not universally applicable, it can be considered to be a feasible option in unique situations such as this one. (Korean J Hepatobiliary Pancreat Surg 2011;15:189-193)
목차
INTRODUCTION
CASE
DISCUSSION
REFERENCES
참고문헌 (14)
참고문헌 신청
1. [학술지(정기간행물)] - Strasberg SM / 1995 / An analysis of the problem of biliary injury during laparoscopic cholecystectomy / J Am Coll Surg 180 : 101 ~ 125
2. [학술지(정기간행물)] - Archer SB / 2001 / Bile duct injury during laparoscopic cholecystectomy: results of a national survey / Ann Surg 234 : 549 ~ 558
3. [학술지(정기간행물)] - Sicklick JK / 2005 / Surgical management of bile duct injuries sustained during laparoscopic cholecystectomy: perioperative results in 200 patients / Ann Surg 241 : 786 ~ 792
4. [학술지(정기간행물)] - Way LW / 2003 / Causes and prevention of laparoscopic bile duct injuries: analysis of 252 cases from a human factors and cognitive psychology perspective / Ann Surg 237 : 460 ~ 469
5. [학술지(정기간행물)] - Perini RF / 2005 / Isolated right segmental hepatic duct injury following laparoscopic cholecystectomy / Cardiovasc Intervent Radiol 28 : 185 ~ 195
2. [학술지(정기간행물)] - Archer SB / 2001 / Bile duct injury during laparoscopic cholecystectomy: results of a national survey / Ann Surg 234 : 549 ~ 558
3. [학술지(정기간행물)] - Sicklick JK / 2005 / Surgical management of bile duct injuries sustained during laparoscopic cholecystectomy: perioperative results in 200 patients / Ann Surg 241 : 786 ~ 792
4. [학술지(정기간행물)] - Way LW / 2003 / Causes and prevention of laparoscopic bile duct injuries: analysis of 252 cases from a human factors and cognitive psychology perspective / Ann Surg 237 : 460 ~ 469
5. [학술지(정기간행물)] - Perini RF / 2005 / Isolated right segmental hepatic duct injury following laparoscopic cholecystectomy / Cardiovasc Intervent Radiol 28 : 185 ~ 195
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UCI(KEPA) : I410-ECN-0101-2014-514-001274428