Bile duct injury during laparoscopic cholecystectomy

VernacularTitle:腹腔镜胆囊切除致胆道损伤26例分析
Author: Yunpeng HUA ; Shaoqiang LI ; Jiaming LAI ; Baogang PENG ; Lijian HANG
Publication Type:Journal Article
Keywords: Cholecystectomy,laparoscopic; Wounds and injuries; Postoperative complications
From: Chinese Journal of General Surgery 2009;24(4):300-303
CountryChina
Language:Chinese
Abstract: Objective To investigate the cause,type,clinical manifestation,diagnosis and treatment of bile duct injury(BDI)during laparoscopic cholecystectomy(LC).Methods Data of 26 cases suffering from biliary injury during LC from 1997 to 2007 were retrospectively analyzed.Results Among 26 cases with BDI,5 cases suffered from type Ⅰ BDI,13 cases from typeⅡ,2 cases from typeⅢ,and 6 cases from type Ⅳ.Injuries were diagnosed as BDI intraoperatively in 3 cases,23 BDI cases were diagnosed postoperatively,including 13 cases diagnosed one week after LC,8 cases 20-60 days after LC,2 cases 2 years after LC.Twenty-four cases underwent interventional therapy,with 5 cases cured,19 cases were tideovered to operative treatment after cholangitis and jaundice were under control.Among all BDJ cases,20 cases underwent resection of impaired dile duct and hepatico-jejunostomy. Conclusion BDI is a serious complication of LC,temporary stent graft or bile dranage will help to put jaundice and cholangitis under control so as to buy a time for final definite surgical procedures.