Biliary Complications and Its Management After Laparoscopic Cholecystectomy: A Review

Abstract

Laparoscopic cholecystectomy has emerged as a gold standard therapeutic option for the management of symptomatic cholelithiasis. However, adaptation of LC is associated with increased risk of complications, particularly bile duct injury ranging from 0.3 to 0.6%. Occurrence of BDI results in difficult reconstruction, prolonged hospitalization, and high risk of long-term complications. Management of Bile duct injury depends on the nature of injury, time of detection, and the expertise available and would range from simple sub hepatic drainage to Roux-en-Y hepaticojejunostomy particularly performed at specialised centers. By constant and continuous analysis of the problem and information to the surgical community it should be possible to decrease the prevalence of iatrogenic BDI and even to avoid it.This article based on the literature review aims to review the biliary complications following laparoscopic cholecystectomy and the management approach.