Bile duct injury of laparoscopic cholecystectomy

Abstract

Aim : To assess the complications of bile duct injury in laparoscopic cholecystectomy in Loghman medical center, Tehran. Background : The incidence of complications of laparoscopic cholecystectomy has increased dramatically since the introduction and widespread use of laparoscopic cholecystectomy. Patients and methods : From January 1998 to January 2002, a total of 155 laparoscopic cholecystectomies were performed at the Loghman medical center. A retrospective analysis of complications including major bile duct injuries, cystic duct leakage, and bile duct strictures, was carried out. Results : Of 155 patients with cholelithiasis, conversion to open cholecystectomy was required in 20 patients (13%). There were 3 (2.22 %) major bile duct injury in laparoscopic cholecystectomy that required reconstructive operations at later stage. Conclusion : Laparoscopic cholecystectomy is an operation associated with low morbidity and mortality rate, but bile duct injury is still a major problem. Clear demonstration of anatomy is the cornerstone of safe, successful laparoscopic cholecystectomy.