Surgical Result and Outcome Of Bile Duct Injuries Following Cholecystectomy

Abstract

Introduction: Iatrogenic bile duct injuries most frequently caused by cholecystectomy during laparoscopy or open procedure. The aim of this study was to evaluate the management of bile duct injuries following cholecystectomy procedure in a tertiary hospital referral from primary and secondary care. Method: The cross-sectional design was used. A total of 21 patients, who sustained extra hepatic bile duct injuries during open and laparoscopic cholecystectomy between January 2008 and December 2017 were retrospectively analyzed. Result: Median age of patient was 45 (21-58) years with a female preponderance. Seven patients sustained bile duct injury during open cholecystectomy while fourteen patients during laparoscopic procedure. Roux-en-Y hepaticojejunostomy was performed in fifteen cases, choledochoduodenostomy in two cases, and primary ligation cystic duct in four cases. Of these, two patient had recurrent cholangitis post operatively, 2 patients had superficial surgical site infection and two patients were performed re-operation related bile anastomosis leakage and burst abdomen. No hospital mortality was found, with length of hospital stay 38(14-53) days. Conclusion: The most frequent site of bile duct injury during cholecystectomy was the common bile duct, and Roux-en-Y hepaticojejunostomy was the procedure of choice for the management of such injuries.