Management of Iatrogenic Bile Duct Injuries Following Cholecystectomy | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 172, Volume 92, Issue 1, July 2023, Page 6607-6611 PDF (163.52 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2023.316667 | ||||
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| Abstract | ||||
| Background: The most significant side effects of open cholecystectomy, which is currently thought to be the preferred treatment for symptomatic gall stones, are bile duct damage and bile leaks. An iatrogenic catastrophe known as major bile duct injury after cholecystectomy is linked to high rates of post-litigation, worse long-term survival and quality of life, and considerable mortality. Any patient who experiences an unusual course after having their cholecyst removed should be worked up for a bile duct injury. Aim of the study: To provide light on post-cholecystectomy biliary complications. Patients and Methods: 14 patients with biliary damage complicating cholecystectomy were treated using different procedures. Two patients who were discovered during surgery were treated right away; one patient has partial common bile duct (CBD) injury at the site of junction with the cystic duct was fixed using a T-tube, and one case had an urgent hepaticojejunostomy. The other 12 patients had postoperative diagnoses. Results: Three patients were treated non-surgically; an intra-abdominal bile collection was drained under the guidance of an ultrasound. Nine patients had elective surgery to correct bile duct damage; Roux-en-Y hepaticojejunostomies were performed in 8 cases of the patients in this cohort. Choledechodoudenostomy was utilised to manage one case. Conclusion: Because patients who undergo laparoscopic procedure are typically sent home earlier, frequently before the appearance of the clinical signs of biliary damage, early diagnosis is crucial for preventing as many consequences as possible. Bile duct damage greatly raise the patient's morbidity. | ||||
| Keywords | ||||
| Bile duct damage; Cholecystectomy; Choledechodoudenostomy; Hepaticojejunostomies | ||||
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