Abstract

Outcomes of Reconstructive Hepaticojejunostomy for Post-Cholecystectomy Bile Duct Injuries

Highlights

  • Cholecystectomy is one of the most common general surgical operations performed worldwide

  • Aim of the work; The aim of this study is to evaluate the presentation, characteristics, related investigation, and outcomes of reconstructive Hepaticojejunostomy in patients with post-cholecystectomy bile duct injuries

  • Patient and Methods This study was done in El-Minia university hospital, including 26 patients who underwent hepaticojejunostomy Roux-en-Y for postcholecystectomy bile duct injury (BDI) between May 2017 and May 2020, retrospectively and prospectively

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Summary

Introduction

Cholecystectomy is one of the most common general surgical operations performed worldwide. The risk of bile duct injury (BDI) during laparoscopic cholecystectomy is two to three times higher than during open cholecystectomy. The worldwide incidence of bile duct injury is 0.5% or 1 in 200 cases. BDI and its consequences result in significant morbidity and may even cause mortality; it increases the cost of treatment and can be a common reason for medico-legal suits against the surgeons (Kapoor, 2020a, 2020b) Injuries to the bile ducts are not rare and often turn out to be tragedies. A bile duct injury will probably occur, at least once in the lifetime, in the hands of every surgeon who performs laparoscopic cholecystectomy.(Sipos, 2007). Incidence of post-cholecystectomy bile duct injuries: Cholecystectomy is responsible for 80%-85% of BDI. The incidence of BDI following laparoscopic cholecystectomy has increased over the past decade (0.4%- 0.6%), despite the expertise gained worldwide in performing this procedure while its incidence after open cholecystectomy was (0.1%-0.2%)

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