Clinical analysis of minor-incision cholecystectomy induce bile duct injuries(report for 5 cases)

Abstract

Objective To explore the causes, preventive measure and dispose ways in minor-incision cholecystectomy induce bile duct injuries. Methods 948 patients who performed minorincision cholecystectomy were choosed, and 5 cases were caused bile duct injuries by minor-incision cholecystectomy, to retrospectively analyzed their clinical data. Results 5 patients with bile duct injuries, 1 case was small choledochus by congenital, 1 case was anomalies of biliary system, 2 cases were Mirizz syndrome, 1 case was chronic cholecystitis with gall stone, no case had gone against the operative procedure. 4 cases were timely found in surgical operation, and after discover for 1 cases. All patients with bile duct injuries payed the repair operation, no case need to repair again, no death, had better effects. Conclusion The minor-incision cholecystectomy has advantages of minor-incision, comeback fast, small scar and low cost. But it still can cause bad serious bile duct injuries, if you do it with misconduct. So the surgery doctor should pay more attention to the indication,carefulness and correctness in the operation, so as to reduce bile duct injuries,early discovering after operation and dealing with the suitable way are the key points to get the patients'pain lower and lower. Key words: Gallbladder disease; Cholecystectomy; Minor-incision; Bile duct injuries