Abstract
Despite advancement in training and technology since its introduction, more than 20 years ago, bile duct injuries continue to be two to three times more common than in open surgery causing significant morbidity and mortality. Hence, a review of the literature present on the internet on bile duct injuries in laparoscopic cholecystectomy was performed to review the causes of biliary injury and methods of prevention of such mishaps. There was a general consensus that careful dissection and correct interpretation of the anatomy avoids the complication of bile duct injury during cholecystectomy. Routine intraoperative cholangiography is associated with a lower incidence and early recognition of bile duct injury. A low threshold to conversion to open approach in case of uncertainty was also advocated.
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