ISSN 0975-3583
 

Journal of Cardiovascular Disease Research



    Cholecystectomy related bile duct and vasculobiliary injuries


    Dr. Khalid Waleed Ibrahim Al-Sheikh Ahmed
    JCDR. 2023: 1615-1622

    Abstract

    To determine whether surgical residency training has influenced the occurrence of common bile duct injuries duringlaparoscopic cholecystectomy, and to assess the anatomic and technical details of bile duct injuries from the practices of surgeons trained in laparoscopic cholecystectomy after residency versus surgeons trained in laparoscopic cholecystectomy during residency. Methods: This was a retrospective study of BDI following cholecystectomy managed in the department of surgery, Al-Hussein Teaching Hospital, from March 2018 to November 2022. The clinical data, severity of BDI, preoperative management, operative management and postoperative outcomes were analyzed. All the cases of BDI following cholecystectomy either open or laparoscopic for cholelithiasis were included in this study. Results: VBIs represent serious and challenging surgical complications and this study finds that acute cholecystitis, hospital type, experience and education level of surgeon are the most significant risk factors in selective set of logistic regression models. Conclusion: Bile duct injury with intact continuity of the duct can be successfully managed with endoscopic stenting of the biliary tree. Intraoperative diagnosis of bile injury and immediate surgical management has good outcome. Similarly, bile duct injury diagnosed after 7 days of surgery can be managed with roux en-y hepatojejunostomy with Hepp- Cauinaud approach after 6 weeks of index surgery following resolution of inflammation with good long term outcome

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    Volume & Issue

    Volume 14 Issue 4

    Keywords