Abstract

To assess spectrum of biliary injury after laparoscopic cholecystectomy.
Materials and Methods: One hundred twenty patients who underwent laparoscopic cholecystectomy of both genders were included. All patients had sonographic abdominal and non-contrast enhanced abdominal CT. BDI was classified as Strasberg-Bismuth classification system.
Results: Out of 120 patients, males were 50 (41.6%) and females were 70 (58.4%). Out of 120 cases, BDI was seen in 61 cases. Type of BDI was type A seen in 4, type B in 5, type C in 11, type D in 15 and type E in 26 cases. The difference was significant (P< 0.05) (Table II). Management done was conservative with controlled external fistula in 28, suturing of cystic duct in 18, primary suturing in 10 and hepaticojejunostomy in 6 cases. The difference was significant (P< 0.05).
Conclusion: Most common type of bile duct injury was type A and type B. Management done was conservative with controlled external fistula, suturing of cystic duct, primary suturing and hepaticojejunostomy.