316667

Management of Iatrogenic Bile Duct Injuries Following Cholecystectomy

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Last updated: 03 Jan 2025

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Abstract

Background: The most significant side effects of open cholecystectomy, which is currently thought to be the preferred treatment for symptomatic gall stones, are bile duct damage and bile leaks. An iatrogenic catastrophe known as major bile duct injury after cholecystectomy is linked to high rates of post-litigation, worse long-term survival and quality of life, and considerable mortality. Any patient who experiences an unusual course after having their cholecyst removed should be worked up for a bile duct injury. Aim of the study:  To provide light on post-cholecystectomy biliary complications. Patients and Methods: 14 patients with biliary damage complicating cholecystectomy were treated using different procedures. Two patients who were discovered during surgery were treated right away; one patient has partial common bile duct (CBD) injury at the site of junction with the cystic duct was fixed using a T-tube, and one case had an urgent hepaticojejunostomy. The other 12 patients had postoperative diagnoses. Results:  Three patients were treated non-surgically; an intra-abdominal bile collection was drained under the guidance of an ultrasound. Nine patients had elective surgery to correct bile duct damage; Roux-en-Y hepaticojejunostomies were performed in 8 cases of the patients in this cohort. Choledechodoudenostomy was utilised to manage one case. Conclusion: Because patients who undergo laparoscopic procedure are typically sent home earlier, frequently before the appearance of the clinical signs of biliary damage, early diagnosis is crucial for preventing as many consequences as possible. Bile duct damage greatly raise the patient's morbidity.  

DOI

10.21608/ejhm.2023.316667

Keywords

Bile duct damage, Cholecystectomy, Choledechodoudenostomy, Hepaticojejunostomies

Volume

92

Article Issue

1

Related Issue

42192

Issue Date

2023-07-01

Receive Date

2023-09-08

Publish Date

2023-07-01

Page Start

6,607

Page End

6,611

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_316667.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=316667

Order

172

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Management of Iatrogenic Bile Duct Injuries Following Cholecystectomy

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Article

Created At

24 Dec 2024