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Bile Duct Injuries At Laparoscopic Cholecystectomy: A Single-Institution Prospective Study. Acute Cholecystitis Indicates An Increased Risk

Claes Söderlund, Farshad Frozanpor, Stefan Linder
Published 2005 · Medicine
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During the last decade laparoscopic cholecystectomy (LC) has become established as the gold standard. The drawbacks in the form of bile duct (BD) injuries have also come into focus. We present the results of a prospective, consecutive series of 1568 patients with reference to BD injuries regarding risks, management, and preventive measures. The significant complications of all patients operated upon with LC between October 1999 and December 2003 were recorded prospectively. BD injuries were classified according to Strasberg into types A–E. Transected major BDs, injuries of type E, were regarded as “major” injuries and types A, B, C, and D were “minor” injuries. Major BDs were transected in five patients (0.3%), three of whom had acute cholecystitis. In the two patients operated on electively, the BD injuries were detected postoperatively, while they were detected intraoperatively when the operation was performed of necessity. The BDs were all reconstructed with a Roux-en-Y hepaticojejunostomy. Two patients had anastomotic strictures. Minor BD injuries were encountered in 19 patients (1.2%). The 13 patients with leakage from the cystic duct or gallbladder bed, injury type A, were treated by endoscopic (ERC) stenting without sequelae. Five patients sustained a lateral BD injury, type D; they were treated with a simple suture over a T-tube (at LC) or endoscopically (ERC) without further problems. A transected aberrant right hepatic BD, type C injury, was due to its small-caliber sutured. Minor BD injuries could be managed at the primary hospital if the endoscopic expertise were at hand. Acute cholecystitis seems to be a risk factor for BD injuries.
This paper references
Bile duct injuries during laparoscopic cholecystectomy. Factors that influence the results of treatment.
Laura C. Stewart (1995)
Bile duct injury during laparoscopic cholecystectomy
Frank Moody (2014)
Surgical Therapy of Iatrogenic Lesions of Biliary Tract
Steven A. Ahrendt (2001)
Mechanisms of major biliary injury during laparoscopic cholecystectomy
Roneet Lev (1992)
Open cholecystectomy: its morbidity and mortality as a reference standard.
R M Girard (1993)
Multidisciplinary approach to biliary complications of laparoscopic cholecystectomy.
Nilesh Doctor (1998)
Operative injuries to the bile ducts. Report on 12 cases.
J Séror (1978)
Benign post-operative bile duct strictures.
Keith D. Lillemoe (1997)
Endoscopic intervention for biliary leaks after laparoscopic cholecystectomy: a multicenter review.
Michael E. Columbus Ryan (1998)
Laparoscopie Injuries to the Bile Duct: A Cause for Concern
Abdool R. Moossa (1992)
Exposure for laparoscopic cholecystectomy dissection adversely alters biliary ductal anatomy
Robert C. Mclntyre (2007)
An analysis of the problem of biliary injury during laparoscopic cholecystectomy.
George Berci (1995)
Value of routine intraoperative cholangiography in detecting aberrant bile ducts and bile duct injuries during laparoscopic cholecystectomy.
Eric Kullman (1996)
Long-term follow-up after open cholecystectomy.
J. Konsten (1993)
Bile duct injury after laparoscopic cholecystectomy. The United States experience.
Bruce V Macfadyen (1998)
Complications of cholecystectomy: risks of the laparoscopic approach and protective effects of operative cholangiography: a population-based study.
David R. Fletcher (1999)
Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases.
Daniel J. Deziel (1993)
Management of major bile duct injury associated with laparoscopic cholecystectomy
Thomas N. Robinson (2001)
1525 laparoscopic cholecystectomies without biliary injury: a single institution's experience.
Caren L Newman (1995)
Impaired Quality of Life 5 Years After Bile Duct Injury During Laparoscopic Cholecystectomy: A Prospective Analysis
Djamila Boerma (2001)
Biliary reconstruction.
Ricardo L. Rossi (1994)
Long - term outcome after repair of major bile duct injury created during laparoscopic cholecystectomy . H . P . B . Surg
RS Hart (2000)
Open Cholecystectomy A Contemporary Analysis of 42,474 Patients
Joel J. Roslyn (1993)
Iatrogenic injury to the bile duct. Who, how, where?
Abdool R. Moossa (1990)
[Operative cholangiography].
P. L. Mirizzi (1950)
Surgical management of iatrogenic bile duct injury.
Laurens Th de Wit (1999)
Intraoperative cholangiography in laparoscopic cholecystectomy: a review of 734 consecutive cases.
Lewis T Ladocsi (1997)
Incidence and nature of bile duct injuries following laparoscopic cholecystectomy: an audit of 5913 cases.
Erik J. Nilsson (1997)
Management of bile duct injuries and strictures following cholecystectomy
M. Raute (2005)
Bile duct injury during laparoscopic cholecystectomy: myth or reality of the learning curve?
Juan Ferrer Calvete (2000)
Management of Major Biliary Complications After Laparoscopic Cholecystectomy
Gene D. Branum (1993)
Laparoscopic cholecystectomy-related bile duct injuries: a health and financial disaster.
Scott J. Savader (1997)
Bile duct injury during laparoscopic cholecystectomy without operative cholangiography.
Carla Wakefield (1998)
Long-term outcome after repair of major bile duct injury created during laparoscopic cholecystectomy
Richard S. Hart (2000)
Accidental Lesions of the Common Bile Duct at Cholecystectomy: II. Results of Treatment
A Andrén-sandberg (1985)

This paper is referenced by
Preoperative evaluation of accessory hepatic ducts by drip infusion cholangiography with CT
Hiromichi Ishii (2017)
Early laparoscopic cholecystectomy in a district general hospital: is it safe and feasible?
I G Panagiotopoulou (2012)
Complications: How to Prevent and Manage Them
Piero Narilli (2014)
Hemorragia diferida de la arteria hepática derecha tras iatrogenia biliar por colecistectomía laparoscópica que precisó trasplante hepático por insuficiencia hepática aguda: caso clínico y revisión de la literatura
Ricardo Robles Campos (2011)
Management of Segmental Bile Duct Injuries After Cholecystectomy: a Systematic Review
Dimitrios Schizas (2018)
Index cholecystectomy in a rural hospital: it can be done
Jay Maloney (2017)
Advances in laparoscopy for acute care surgery and trauma.
Matteo Mandrioli (2016)
SAGES guidelines for the clinical application of laparoscopic biliary tract surgery
Dennis Wayne (2010)
Three-dimensional drip infusion CT cholangiography in patients with suspected obstructive biliary disease: a retrospective analysis of feasibility and adverse reaction to contrast material.
Anders Persson (2006)
Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: an up-to-date meta-analysis of randomized controlled trials
Yunxiao Lyu (2018)
[Delayed right hepatic artery haemorrhage after iatrogenic gallbladder by laparoscopic cholecystectomy that required a liver transplant due to acute liver failure: clinical case and review of the literature].
Ricardo Robles Campos (2011)
Laparoscopic cholecystectomy within one week from the onset of acute cholecystitis: A 6-year experience
Hamad Alqahtani (2013)
Laparoscopic cholecystectomy in the treatment of acute cholecystitis: comparison of outcomes and costs between early and delayed cholecystectomy.
Vincenzo Minutolo (2014)
Iatrogenic bile duct injury--a cost analysis.
Roland Andersson (2008)
Endoscopic management of post-operative biliary tract injuries
Zoltán Vögyi (2010)
Is inflammation a significant predictor of bile duct injury during laparoscopic cholecystectomy?
Christos Georgiades (2008)
Surgical management of bile duct injuries following open or laparoscopic cholecystectomy
Ainul Hadi (2013)
Clinical Practice Guidelines on the prevention , diagnosis and treatment of gallstones q European Association for the Study of the Liver ( EASL ) ⇑
Giorgio Ercolani (2016)
Vergleichende Analyse endoskopischer und chirurgischer Therapieansätze bei Gallenwegsläsionen nach Cholecystektomie
Franziska Winkelmann (2013)
Acute cholecystitis at ER—We can remove it!
Keon-Young Lee (2013)
Registering the critical view of safety: photo or video?
Marloes Emous (2010)
Risk factors for acute cholecystitis and for intraoperative complications.
Octavian Aurel Andercou (2017)
Posztoperatív epeúti sérülések endoszkópos megoldása
Zoltán Völgyi (2009)
Role of intra operative cholangiogram in current day practice.
Shailesh Mohandas (2010)
Bile duct injuries during laparoscopic cholecystectomy: primary and long-term results from a single institution
Jukka Karvonen (2007)
EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones.
Frank Lammert (2016)
Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)
Michaela Eikermann (2012)
Management of iatrogenic bile duct injury in cholecystectomy: a single centre experience
Mohit Sharma (2017)
Chapter 42A – Benign biliary strictures
Carlos U. Corvera (2012)
Delayed laparoscopic cholecystectomy increases the total hospital stay compared to an early laparoscopic cholecystectomy after acute cholecystitis: an updated meta-analysis of randomized controlled trials.
Benjamin Menahem (2015)
[Endoscopic management of postoperative biliary injuries].
Zoltán Völgyi (2009)
Safety and efficacy of simultaneous cholecystectomy at Roux-en-Y gastric bypass.
Jaihwan Kim (2009)
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