Comparison of Multidetector Ct and Digital Subtraction Angiography Findings to Determine Accompanying Vascular Injuries in Patients with Detected Benign Biliary Injury after Laparoscopic Cholecystectomy and Investigation of Efficacy
Keywords:
multidetector ct, digital subtraction angiography, accompanying vascular injuries, benign biliary injury, laparoscopic cholecystectomy.Abstract
There are many reasons for benign biliary strictures. Surgery is the most common reason for these injuries and laparoscopic cholecystectomy constitutes the main cause. Whether bile duct injuries are accompanied by vascular injuries after laparoscopic cholecystectomy is a point of interest.This study aimed to investigate the effect of vascular injury that occurred during laparoscopic cholecystectomy and whether vascular injuries might be shown using minimal invasive imaging modalities such as Computed Tomography (CT) angiography.The study was designed as a retrospective investigation. The study group included 30 patients who were referred with biliary strictures after laparoscopic cholecystectomy.Vascular injury was detected in 10 of 30 patients. Right hepatic artery injury was observed most frequently. With patients in whom Bismuth type 4 biliary stricture was detected, concomitant vascular injury was found to be more common.
The average number of days before the onset of symptoms was very low and
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