Iatrogenic bile duct lesions – why have so many classifications been proposed?
DOI:
https://doi.org/10.5281/zenodo.14769494Keywords:
Iatrogenic bile duct lesions, Classification of iatrogenic bile duct lesions, Laparoscopic cholecystectomyAbstract
Iatrogenic bile duct lesions (IBDL) are severe and sometimes life-threatening specific complications of different type, concerning location, severity, clinical presentation, time of detection, diagnostic and therapeutic approach.
Common bile duct/common hepatic duct stenoses represented the great majority of this entity in the pre-laparoscopic era. However, the incidence rate of IBDL has significantly increased after the rapid spreading of laparoscopic cholecystectomy worldwide. Once a lesion has been caused, an adequate multidisciplinary approach is required. The importance of the problem provoked many studies analyzing the anatomical, clinical, diagnostic, and therapeutic aspects of IBDL. Many attempts have been made to create a universal classification system, but they all have certainlimitations.
This literature review represents most of theclassifications of IBDL with some comments on their advantages and disadvantages.
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