Abstract
The study was to improve surgical safety and reduce the incidence of bile duct injury (BDI) during laparoscopic cholecystectomy. The clinical information of 31 cases with bile duct injury during Laparoscopic Cholecystectomy (LC) was analyzed retrospectively. Thirty patients with bile duct injury were divided into 5 types according to Bismuth typing, including: type I 9 cases, type II 12 cases, type III 4 cases, type IV 3 cases, type V 3 cases. After median follow-up of 48 months, 30 (97%) patients are alive and 29 (94%) remain in good general condition with normal liver function. One patient died from acute obstructive suppurative cholangitis (AOSC). One patient appeared to have pain under the xiphoid that was resolved after 3 months. Recurrent strictures following repair have developed in two (6%) patients with high injuries combined with right hepatic arterial injury. Appropriate surgical indications, handling Calot triangle carefully and correctly, and conversion to open surgery at the right moment are the keys of prevention and treatment of bile duct injury during LC.
Highlights
Laparoscopic cholecystectomy (LC) was first introduced in 1991 in China
The clinical characteristics of the patients which included classification of bile duct injury [2] and the methods of examination were summarized in the Table 1
The patients who were found bile duct injury during the operation were converted to open surgery
Summary
Laparoscopic cholecystectomy (LC) was first introduced in 1991 in China. Because of its minimal invasion, less pain, faster recovery and other advantages, LC was accepted fast by the majority of doctors and patients as the gold standard for surgical treatment of benign gallbladder disease [1]. (2015) The Clinical Analysis of Bile Duct Injury during Laparoscopic Cholecystectomy. International Journal of Clinical Medicine, 6, 825-830. Iatrogenic bile duct injury may lead to great suffering for the patients. The discussion of prevention, timely and correct treatment of bile duct injury in LC is necessary
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