ภาวะแทรกซ้อนทางศัลยกรรมจากการผ่าตัดถุงน้ำดีในโรงพยาบาลบ้านโป่ง

บทคัดย่อ

          Bile duct injuries during cholecystectomy are serious complication. Proper management is mandatory to avoid immediate and later complication. Retrospective study of patients underwent cholecystectomy alone or cholecystectomy combined with other abdominal procedure from January 2000 to December 2004 at Banpong Hospital were analyzed. Eight patients had surgical complication, two of them were duodenal injuries, the other six were bile duct injuries. Four of the six had transection of common bile duct and treated by hepatico - jejunostomy (n : 3). One patient died because of bleeding duodenal diverticulum that missed at the time of operation, another two had complete recovery. The other was threated by primary suture repair and stricture developed three years later. In two additional patients, one had multiple partial tear of common bile duct and was managed by primary repair with T-tube ; and the other was recognized bile leakage post operation and fistula closed spontaneously by partial TPN