The Journal of Bucharest College of Physicians and the Romanian Academy of Medical Sciences

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The Role of the Extraperitoneal Drainage in the Corrective Surgery of the Intraoperative-Discovered Accidental Lesions of the...

2016-02

The Role of the Extraperitoneal Drainage in the Corrective Surgery of the Intraoperative-Discovered Accidental Lesions of the Common Bile Duct

Alec Cosmin Moldovan, Florin Dan Ungureanu, Vladimir Belis

Up to date, one of the most well-known and used classification for defining bile duct lesions belongs to Bismuth [1] and was later assumed by laparoscopic surgery as well. In this classification, the author is taking into consideration the remaining intact bile duct length and does not include bile collections that may arise from a bilistasis defect in the cystic duct or the liver bed, nor the lateral solutions of continuity of the main bile duct and right hepatic duct. These kind of iatrogenic injuries were initially reported only after classic cholecystectomy, and this is why, later, with the development and rise of the laparoscopic approach, Strasberg and Soper [2] modified this classification of accidental injuries inclu-ding these as well. [...]

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