A STUDY OF BILIARY TRACT INJURIES OCCURING AS A COMPLICATION IN CHOLECYSTECTOMY AND THEIR MANAGEMENT
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 3180-3190
AbstractBackground and Objectives: To evaluate the prevalence of bile duct as well as other biliary system injuries resulting after cholecystectomy in our hospital, along with the factors that contribute to the injuries and the way they are treated.
Methods: All patients between 2019 and 2021 who had an iatrogenic biliary tract injury underwent a prospective analysis. Gender, age, the presence of abnormal anatomy (extra-hepatic bile duct and vascular anatomy), the presence of gall stone pancreatitis, acute cholecystitis or cholangitis, the time between cholecystectomy and recognition of biliary tract injury, the time from injury to definite management, the type of injury, and the mode of management, such as endoscopic retrograde cholangiography, are all relevant factors for injuries sustained
Results: Injury to the bile duct occurred 2.52% of the time. Patients undergoing cholecystectomy for cholecystitis lasting longer than 72 hours tended to suffer from the majority of bile duct damage. The likelihood of bile duct injury was enhanced by elements including acute cholecystitis, cholangitis, and choledocholithiasis. Most of the injuries were discovered right after surgery. The most frequent site of injury was the common hepatic duct. The majority of BDI cases were treated with a final repair, which was aided by radiological treatments like ERCP and stenting.
Conclusion: Because of the steep learning curve of laparoscopic surgery, bile duct injury rates have been found to be higher in our institution during cholecystectomy. The best chance of recovery is provided by early detection, repair, and a multidisciplinary strategy
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