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Research Article Open access CC BY 4.0

Frequency of Bile Duct Injury during Laparascopic Cholecystectomy Procedures

Munawar Hussain Mangi, . Paras, Seema Rahim, Rubina Bashir, Ameer Ali Khaskheli

Journal of Pharmaceutical Research International · pp. 58–62 · Published 10 Jan 2022

10.9734/jpri/2022/v34i1B35416

Abstract

Objective: To determine the frequency of bile duct injury during laparascopic cholecystectomy procedures. Study Design: This is an observational study. Setting: Study carried out at General Surgery department, Shaheed Benazir Bhutto Medical College, Lyari Karachi, from July 2019 to August 2021. Materials and Methods: All diagnosed patients of gallstones on the clinically and findings of ultrasound of abdomen with age (20-60 years), gender were included in study. Patient not willing for surgery, pregnant ladies, bleeding disorders, obstructive jaundice and carcinoma of gall bladder were excluded from this study. Results: Out of 162 patients, there were 15 males (9.25%) and 147 females (90.74%), with a male to female ratio of 1:11.6. The mean age was 36.01±8.11years (20 to 60 years). According to our observation, there were 6 cases (3.70%) of common bile duct injury during the operation. Treatments offered range from ERCP and conservative treatment to reconstructive surgery. Four patients (2.46%) were converted to open cholecystectomy, 1 patient underwent open cholecystectomy subsequent ERCP, and 1 patient underwent open Cholecystectomy with Subsequent Reconstructive surgery. Conclusion: In our study bile duct injury commonly occur during laparoscopic cholecystectomy. Over time, improving surgical technique and experience reduced the overall incidence of CBD injuries.

Bile duct injury laparascopic cholecystectomy complications

References (3)

  1. 1 Iatrogenic Biliary Injuries: Classification, Identification, and Management [DOI]
  2. 2 Iatrogenic Bile Duct Injury Following Open and Laparoscopic Cholecystectomy and Treatment Outcome [DOI]
  3. 3 Diagnosis and treatment of iatrogenic bile duct injuries

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