Become A Member

  1. Home
  2. January 2017
  3. 4. Management of Iatrogenic Bile Duct Injuries Following Cholecystectomy
Article Image
Admin

4. Management of Iatrogenic Bile Duct Injuries Following Cholecystectomy

Syed Ahmed Sultan Ali, Bashir A Sheikh, Farah Idrees, Mubashir Iqbal, Muhammad Sohail Choudhary, Adnan Aziz and Naheed Sultan

ABSTRACT

Objective: The objective of the study is to analyzed Iatrogenic bile duct injuries (IBDI) following laparoscopic and open cholecystectomies and their management.

Study Design: Observational study

Place and Duration of Study: This study was conducted at Surgical Unit, Civil Hospital, Karachi from January 2009 to December 2015.

Materials and Methods: The study includes twenty three patients by convenient sampling technique. Patients with common bile duct (CBD) injury following open & laparoscopic cholecystectomy were included whereas patients with CBD injury following hepatobiliary pancreatic malignancy, gastrectomy, abdominal trauma, CBD exploration due to stone disease/stricture were excluded from the study.

Results: A total of twenty three patients, 20 (87%) female and 03(13%) male were included in the study after IBDI following laparoscopic/open cholecystectomy. Mean age was 42.65 (range: 25-65). Emergency department admission was common mode of admission (15 patients, 65.2%). Whereas mean time to referral following injury was 4.87 (median 5) days. Roux-en–Y hepatojejunostomy were the commonest surgical procedure performed 14(60.2%) patients. Major complications noted were stricture at anastomasis site (1 patient, 4.3%) and liver abscess (1 patient, 4.3%) but overall no mortality.

Conclusion: Early diagnosis and treatment of iatrogenic bile duct injury result in reduce morbidity and mortality.

Key Words: Iatrogenic bile duct injuries, Cholecystectomy, Biliary bypass surgery

Citation of article: Ali SAS, Sheikh BA, Idrees F, Iqbal M. Choudhary MMS, Aziz A, Sultan N. Management of Iatrogenic Bile Duct Injuries Following Cholecystectomy. Med Forum 2017;28(1):14-17.