Comparison of Major Bile Duct Injuries Following Laparoscopic Cholecystectomy and Open Cholecystectomy

Kaman, Lileswar; Sanyal, Sudip; Behera, Arunanshu; Singh, Rajinder; Katariya, RN

doi:10.1111/j.1445-2197.2006.03868.x

Cited by 28 publications

(25 citation statements)

References 30 publications

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“…11 Biliary complications are reportedly more common inlaparoscopic cholecystectomy. 4 This is particularly true for the less experienced surgeon. 12 However, complication rates are comparable for experienced operators.…”

Section: Discussionmentioning

confidence: 99%

“…15,16 The rate of biliary injury ranges from 0.2% to 7% in laparoscopic compared to 0.2-0.4% following open cholecystectomy. 4 Acute injuries manifest as leaks, whilst chronic injuries lead to strictures. In the acute phase, CT shows perihepatic fluid collections or free intraperitoneal fluid.…”

Section: Discussionmentioning

confidence: 99%

“…Tropical Gastroenterology 2015;36 (4): [236][237][238][239][240][241][242][243] lead to complications. 3 Complications in open cholecystectomy are mostly related to dissection in the gallbladder bed.…”

Section: Every Step Of Laparoscopic Cholecystectomy May Potentiallymentioning

confidence: 99%

“…Biliary complications are reported to be more common with laparoscopic cholecystectomy. 4 Early and precise diagnosis of post cholecystectomy complications is integral to management of patients with cholecystectomies. Imaging plays a crucial role in this respect.…”

Section: Every Step Of Laparoscopic Cholecystectomy May Potentiallymentioning

confidence: 99%

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Multidetector computed tomography evaluation of post cholecystectomy complications: A tertiary care center experience

Gorsi¹

2015

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Objective: To evaluate the role of multidetector computed tomography (CT) and CT angiography (CTA) in post cholecystectomy complications.Methods: A retrospective analysis of data from December 2012 to August 2014 was performed. Eight hundred sixty consecutive patients with history of cholecystectomy (laparoscopic or open) were evaluated. After exclusion of 645 patients with normal imaging, analysis for post cholecystectomy complications was performed in 215 patients. A contrast enhanced CT/ CTA was performed. Mean interval to imaging was 10 months (range 3 days to 15 months). Results: A complication rate of 25% was noted in patients undergoing imaging following cholecystectomy. Gallbladder bed or perihepatic collections were seen in 11.9% cases (n=103). Intrahepatic biliary radicle dilatation (IHBRD) was seen in 7% patients (n=60). Isolated right or left ductal dilatation was seen in 9 patients; rest of the patients had bilateral IHBRD. Cholangitic abscesses and mild acute pancreatitis were seen in 11 (1.2%) and 12 (1.3%) patients respectively. These comprised biliary complications. Venous thrombosis involving the portal vein was the most frequently encountered vascular complication (n=12). Right hepatic artery pseudoaneurysm was seen in two patients. Less common complications were abdominal wall hematoma (n=2), incisional hernia (n=6), port site hernia (n=2), large bowel injury (n=1), biliocutaneous fistula (n=1) and enterocutaneous fistula (n=1). Conclusion: CT allows classification of post cholecystectomy complications and guides further management. CTA provides an efficient road map for management of vascular complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Every Step Of Laparoscopic Cholecystectomy May Potentiallymentioning

confidence: 99%

Section: Every Step Of Laparoscopic Cholecystectomy May Potentiallymentioning

confidence: 99%

See 2 more Smart Citations

Multidetector computed tomography evaluation of post cholecystectomy complications: A tertiary care center experience

Gorsi¹

2015

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“…Unfortunately, LC has been associated with a significant increase in bile duct injuries reaching 0.6% [3]. Although most injuries occur within the surgeon's learning curve in LC, one third can happen after the surgeon has performed more than 200 procedures, signifying that inexperience is not the only reason for bile duct injuries [4].…”

Section: Introductionmentioning

confidence: 99%

Incidence, diagnostics and management of iatrogenic bile duct injuries: 20 years experience in a high volume centre

et al. 2015

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Background-Aim:The vast majority of bile duct injuries occur in cases of open or laparoscopic cholecystectomy. Numerous reports have demonstrated that the incidence of iatrogenic bile duct injuries (IBDI) has risen from 0.3% to 0.6% since the introduction of laparoscopic cholecystectomy. There are many classifications of iatrogenic bile duct injuries, none of which is universally accepted as each has its own limitation. The aim of the present study is to present the results of our investigation of this clinical topic and to propose a therapeutic algorithm for IBDI, considering the time of treatment, diagnosis and multimodal therapy of these lesions.

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Laparoscopic versus open surgery for the management of post-cholecystectomy benign biliary strictures

et al. 2020

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Comparison of Major Bile Duct Injuries Following Laparoscopic Cholecystectomy and Open Cholecystectomy

Cited by 28 publications

References 30 publications

Multidetector computed tomography evaluation of post cholecystectomy complications: A tertiary care center experience

Multidetector computed tomography evaluation of post cholecystectomy complications: A tertiary care center experience

Incidence, diagnostics and management of iatrogenic bile duct injuries: 20 years experience in a high volume centre

Laparoscopic versus open surgery for the management of post-cholecystectomy benign biliary strictures

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