Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2010
Bile duct injuries following laparoscopic cholecystectomy: A clinical study.
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Al-Kubati Waheeb R
Аннотация
BACKGROUND/AIM: This study aimed at assessing the outcome of laparoscopic cholecystectomy (LC) by determining the frequency of complications, especially of bile duct injuries.
MATERIALS AND METHODS: The case files of all patients undergoing laparoscopic cholecystectomy between 2002 and 2006 (inclusive) at King Hussein Medical Center (KHMC) were retrospectively analyzed. We evaluated the data according to outcome measures, such as bile duct injury, morbidity, mortality and numbers of patients whose resections had to be converted from laparoscopic to open.
RESULTS: During the four years (January 2002 and December 2006), 336 patients underwent LC for chronic cholecystitis (CC), of whom 22 (6.5%) developed complications. Among those who developed complications, two patients had major bile duct injuries (0.4%); 43 other patients (12.8%) had planned laparoscopic operations converted to open cholecystectomy intra-operatively. None of the patients in this study died as a result of LC.
CONCLUSION: Bile duct injury is a major complication of LC. Anatomical anomalies, local pathology, and poor surgical techniques are the main factors responsible. The two patients who had severe common bile duct injury in this study had major anatomical anomalies that were only recognized during surgery.
MATERIALS AND METHODS: The case files of all patients undergoing laparoscopic cholecystectomy between 2002 and 2006 (inclusive) at King Hussein Medical Center (KHMC) were retrospectively analyzed. We evaluated the data according to outcome measures, such as bile duct injury, morbidity, mortality and numbers of patients whose resections had to be converted from laparoscopic to open.
RESULTS: During the four years (January 2002 and December 2006), 336 patients underwent LC for chronic cholecystitis (CC), of whom 22 (6.5%) developed complications. Among those who developed complications, two patients had major bile duct injuries (0.4%); 43 other patients (12.8%) had planned laparoscopic operations converted to open cholecystectomy intra-operatively. None of the patients in this study died as a result of LC.
CONCLUSION: Bile duct injury is a major complication of LC. Anatomical anomalies, local pathology, and poor surgical techniques are the main factors responsible. The two patients who had severe common bile duct injury in this study had major anatomical anomalies that were only recognized during surgery.
Предметные рубрики MeSH
AdultAge DistributionBile Duct DiseasesBile DuctsBile Ducts, ExtrahepaticCholecystectomy, LaparoscopicCholecystitisCholelithiasisCohort StudiesCommon Bile DuctFemaleHumansIatrogenic DiseaseIncidenceIntraoperative ComplicationsMaleMiddle AgedMinimally Invasive Surgical ProceduresPostoperative ComplicationsPrognosisRetrospective StudiesRisk AssessmentSex DistributionSurvival RateYoung Adult