Bile Duct Injuries Following Laparoscopic Cholecystectomy and their Outcome
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 6
Abstract
Introduction: Bile duct injuries are still among the most common and dreadful complications, following laparoscopic cholecystectomies despite advancement of training and technology. Methods: Prospective study of bile duct injuries occurring in the period 2013 to 2015 at Nalanda Medical College Patna. Results: in total, 40 patients (28 women and 12 men) with a median age of 45 (range 10–76) Years had a leak or a lesion of the bile ducts during the study period. Total incidence of Postoperative bile leaks or bile duct injuries was 0.9% and for bile duct injuries separately, 0.4%. Median delay from injury to repair was 5 days (range 0–68 days). In 12 patients (18%), the injury was discovered intraoperatively. Bile leak was the major symptom in 59%, and 52% had a leak from the cystic duct or from assumed aberrant ducts in the liver bed of the gall bladder. Following the clavien–dindo classification, 39% and 45% were classified as IIIA and IIIB, respectively, 10% as IV, and 6% as V. in all, 21 patients had injuries to the common bile duct or hepatic ducts, and in these patients, 21% were treated with a hepaticojejunostomy , 70s% had an uncomplicated event, whereas 2.5% later on developed a stricture. Out of 21 patients with injuries to the cystic duct/aberrant ducts, 14 could be treated with stents or sphincterotomies and percutaneous drainage. Conclusion: half of injuries following cholecystectomies are related to the cystic duct, and most of these can be treated with endoscopic or percutaneous procedures. A considerable number of patients following hepaticojejunostomy will later on develop a stricture.
Authors and Affiliations
Dr Manawor Ahsan
Keywords
Related Articles
- EP ID EP286129
- DOI -
- Views 72
- Downloads 0
Evaluation of adherence to surgical prophylaxis guidelines and expenditure on antimicrobial agents used for surgical prophylaxis
most common nosocomial infection. Aims: To evaluate adherence to surgical prophylaxis guidelines and expenditure because of non-adherence to guidelines regarding antimicrobial agents (AMA) used for surgical prophylaxis....
Sternoclavicular Grafting a Pradigm Shift in the Management of TMJ Ankylosis
Introduction: The management of TMJ ankylosis poses a great challenge due to high recurrence rate. A no. of inter positional materials let it be alloplastic or autogenous tissues have been used. The adaptive centre is pr...
Effect of Gender on F Wave Minimal Latency in Healthy Adults
Background: F waves are low amplitude late responses due to antidromic activation of motor neurons following peripheral nerve stimulation. It is important in electro diagnosis as it can assess proximal and distal nerve s...
Chromobacterium Violaceum isolated from Young Adult with UTI from a Tertiary Care Center
Chromobacterium violaceum, a proteobacterium was first described in a fatal infection of a buffalo by Wooley in 1905, later in Malaysia (1927) it was reported as cause for human infection. It is a rare pathogen causing i...
Barriers in Achieving Oral Health Care among Children with Low Socioeconomic Status: A Cross-sectional Study
Introduction: Dental diseases poses a serious public health problem in children and thus children often remain deprived from oral health care due to various barriers like low socioeconomic status, parental ignorance, ill...