Source:http://linkedlifedata.com/resource/pubmed/id/18936662
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2008-10-21
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pubmed:abstractText |
Laparoscopic cholecystectomy (LC) has been accepted as a primary treatment modality for various benign gallbladder diseases. However, bile duct injury has occurred in a non-negligible proportion of patients who undergo LC. The outcome of primary reconstruction for LC-induced major bile duct injuries is usually favorable, but a small proportion of patients revealed serious biliary stricture during follow-up. We described the experience on the treatment for such delayed-onset bile duct strictures that occurred in 5 patients. One patient showed biliary strictures 6 months after primary hepaticojejunostomy, which were successfully treated with radiologic intervention. Other 4 patients underwent right lobectomy and redo hepaticojejunostomy 4 to 16 months after primary biliary reconstruction. No recurrent biliary stricture occurred during mean follow-up of 40 months. In conclusion, prolonged surveillance over 5 years seems necessary for the detection of delayed-onset biliary stricture after primary biliary reconstruction. Delayed-onset bile duct stricture should be treated on the case-by-case basis, with radiologic intervention or radical biliary reconstruction combined with liver resection.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
1534-4908
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
18
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
445-8; discussion 449
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pubmed:meshHeading |
pubmed-meshheading:18936662-Adult,
pubmed-meshheading:18936662-Bile Ducts,
pubmed-meshheading:18936662-Cholecystectomy, Laparoscopic,
pubmed-meshheading:18936662-Cholestasis,
pubmed-meshheading:18936662-Female,
pubmed-meshheading:18936662-Humans,
pubmed-meshheading:18936662-Intraoperative Complications,
pubmed-meshheading:18936662-Middle Aged,
pubmed-meshheading:18936662-Recurrence
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pubmed:year |
2008
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pubmed:articleTitle |
Treatment of recurrent bile duct stricture after primary reconstruction for laparoscopic cholecystectomy-induced injury.
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pubmed:affiliation |
Division of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. shwang@amc.seoul.kr
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pubmed:publicationType |
Journal Article
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