Successful Intestinal Repair under Laparoscope for Accidental Duodenal and Colonic Injuries Occurred during Laparoscopic Cholecystectomy-Report of 4 Cases

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  • 腹腔鏡下胆嚢摘出術中の偶発的な消化管損傷に対し腹腔鏡下修復を施行し得た４例

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Abstract

Between September 1992 and September 2002, we treated 4 patients with accidental bowel injury during laparoscopic cholecystectomy. Some 820 laparoscopic cholecystectomies we conducted during the same period. All patients had severe adhesion of the gallbladder to the duodenum or colon. Three cases involved duodenal injury and one transverse colon injury. Diagnosis was made during laparoscopic cholecystectomy and injuries were laparoscopically repaired. The three duodenal injuries were treated with single-layer repair. The transverse colon injury was treated with two -layer repair. No major postoperative complications were seen. Mean operative time was 362 minutes (335-415 minutes). Mean postoperative hospitalization was 19 days (15-29 days). These results indicate that when the surgeon is skilled in advanced laparoscopic operative techniques such as intracorporeal suturing and knotting, these bowel injuries during laparoscopic cholecystectomy can be repaired laparoscopically.

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