168494

Retrospective Study of Common Bile Duct Injury after Laparoscopic Cholecystectomy

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Last updated: 05 Jan 2025

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Abstract

Laparoscopic cholecystectomy is one of commonest laparoscopic surgeries but carries out serious complications, one of them with high morbidity and mortality which is Bile Duct Injury. Biliary leak, biliary peritonitis and obstructive jaundice presents BDI with different management planes from ERCP and stent application up to abdominal exploration and roux-en-y hepatico-jeujenostomy to restore bile system continuity, this fact drove the attention of healthcare institutes to this problem. Is to assess different types of Bile duct injuries (BDI) after laparoscopic cholecystectomy and the outcome of different surgical procedures and recent radiological interventional procedures. This is a retrospective study carried on 50 patients underwent laparoscopic cholecystectomy and complicated by bile duct injury in benha university hospitals, after approval of local ethics committee, all patients included in the study were informed about the procedure and a written consent was obtained from every patient before carrying the different surgical procedures and recent radiological interventions. The study was done from January 2004 till January 2020. BDI during laparoscopic cholecystectomy occur more frequently when compared to open surgery. They occur twice to three times, more frequently than after an open surgery. Among early presentations is bile leak which occurred in (56%) who present early within first week. Different plans of management which differs from radiological intervention with (14%) up to abdominal exploration with (70%). Increased incidence of bile duct injury with laparoscopic cholecystectomy more than open cholecystectomy. Over confidence of some surgeons can cause serious damage. Roux en y Hepatico-jeujonostomy is the preferred surgical procedure. Intervention radiology plays important role in diagnosis and management of BDI.

DOI

10.21608/bjas.2021.168494

Keywords

ERCP, Biliary-enteric anastomosis, Obstructive jaundice, bile leakage

Authors

First Name

A.

Last Name

Salem

MiddleName

A.

Affiliation

General Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

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First Name

R.

Last Name

Salama

MiddleName

S.

Affiliation

General Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

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First Name

M.

Last Name

Abd El-Latif

MiddleName

E.

Affiliation

General Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

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First Name

A.

Last Name

El-Gazzar

MiddleName

E.

Affiliation

General Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

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Volume

6

Article Issue

1

Related Issue

24493

Issue Date

2021-01-01

Receive Date

2021-01-03

Publish Date

2021-01-01

Page Start

89

Page End

96

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_168494.html

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https://bjas.journals.ekb.eg/service?article_code=168494

Order

14

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Retrospective Study of Common Bile Duct Injury after Laparoscopic Cholecystectomy

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Article

Created At

23 Jan 2023