April 2004
Gut;Apr2004 Supplement 3, Vol. 53, pA88
Academic Journal
The objective of this study is to assess the management and outcome of bile duct injuries following cholecystectomy. 45 patients were identified. 25 injuries occurred during laparoscopic chotecystectomy, 10 following converted laparoscopic cholecystectomy and 10 during open procedures. Median time to diagnosis was 5 days. 12 were diagnosed intra-operatively. Presenting problems were,18 collections, 15 cholangitis, 12 jaundice, 6 abdominal pain. The treatment of bill duct injury complicating cholecystectomy is demanding and carries significant risk of morbidity. Inluries tend to be more severe after loparoscopic procedures.


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