Biliary tract surgery |
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Authors: | Steven A Ahrendt |
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Institution: | (1) Department of Surgery, The Medical College of Wisconsin, 9200 West Wisconsin Avenue, 53226 Milwaukee, WI, USA |
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Abstract: | The use of the laparoscope in biliary tract surgery continues to play a major role in improving the operative management of
patients with biliary diseases. Laparascopic cholecystectomy has been safely performed as a day-case procedure and has lowered
the morbidity of cholecystectomy in the setting of acute cholecystitis. Laparoscopic common bile duct exploration allows cholecystectomy
and the removal of common bile duct stones to be performed during the same procedure, thereby decreasing hospital stay. Several
new noninvasive modalities have been recently developed to image the biliary tract. In addition, laparoscopic ultrasound has
led to rapid intraoperative imaging of the extrahepatic biliary tree. The long-term results of laparoscopic bile duct injuries
have been better defined during the past several years. Finally, the role of surgical resection for gallbladder cancer detected
during or after laparoscopic cholecystectomy has recently been evaluated. |
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Keywords: | |
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