Florin Dan Ungureanu

Florin Dan Ungureanu

The Role of the Extraperitoneal Drainage in the Corrective Surgery of the Intraoperative-Discovered Accidental Lesions of the...

Up to date, one of the most well-known and used classification for defining bile duct lesions belongs to Bismuth [1] and was later assumed by laparoscopic surgery as well. In this classification, the author is taking into consideration the remaining intact bile duct length and does not include bile collections that may arise from a bilistasis defect in the cystic duct or the liver bed, nor the lateral solutions of continuity of the main bile duct and right hepatic duct. These kind of iatrogenic injuries were initially reported only after classic cholecystectomy, and this is why, later, with the development and rise of the laparoscopic approach, Strasberg and Soper [2] modified this classification of accidental injuries inclu-ding these as well. [...]

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External Postoperative Biliary Lithiasic Fistulae Associated with Choleperitoneum

Laparoscopic cholecystectomy is regarded as a safe procedure, which could allow only with great difficulty the possibility of unpleasant progression or intraoperative surprises [2]. Both findings are now able to allow in most cases an optimal therapeutic conduct and a most simple postoperative evolution, devoid of consequences. But, however, even with diagnosis establishment and surgical indication with maximum precision, such as a very advanced surgical technique, surgery further reserves the right to not always provide nor pleasant, nor easy to solve surprises [...]

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