Bile duct injuries during laparoscopic cholecystectomy

2000 ◽  
Vol 14 (11) ◽  
pp. 1091-1091 ◽  
Author(s):  
G. Berci ◽  
L. Morgenstern
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Bile Duct Injuries

scholarly journals Iatrogenic Bile Duct Injuries: An Overview and A Review of Literature

2021 ◽  
Vol 07 (01) ◽  
pp. 037-043
Author(s):  
Vinoth M. ◽  
Abhijit Joshi
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Bile Duct Injury ◽  
Surgical Procedures ◽  
Surgical Repair ◽  
Review Of Literature ◽  
Bile Duct Injuries ◽  
Iatrogenic Bile Duct Injury

Abstract​ Laparoscopic cholecystectomy (LC) is one of the most frequently performed surgical procedures worldwide. Iatrogenic bile duct injury (IBDI) is a serious complication of LC and has an incidence of 0.3 to 0.7%. Since it is associated with a significant and potentially lifelong morbidity as well as mortality, diagnosing IBDI as early as possible is of paramount importance. Management of bile duct injuries and prognosis of their surgical repair depend on the timing of its recognition, type and the extent of the injury. In this paper, we present a case of IBDI and attempt to discuss all its dimensions.

scholarly journals Erratum to: Age and Obesity are Independent Predictors of Bile Duct Injuries in Patients Undergoing Laparoscopic Cholecystectomy

2015 ◽  
Vol 39 (7) ◽  
pp. 1809-1809 ◽  
Author(s):  
Hassan Aziz ◽  
Viraj Pandit ◽  
Bellal Joseph ◽  
Tun Jie ◽  
Evan Ong
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Bile Duct Injuries

The Prevention of Laparoscopic Bile Duct Injuries: An Analysis of 300 Cases of from a Human Factors and Cognitive Psychology Perspective

2007 ◽  
Vol 51 (11) ◽  
pp. 617-620 ◽  
Author(s):  
Lygia Stewart ◽  
Lawrence W. Way
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Human Factors ◽  
Bile Duct Injury ◽  
Human Error ◽  
Perceptual Illusion ◽  
Bile Duct Injuries ◽  
Psychology Perspective ◽  
Cause Of Error ◽  
Key Steps

Application of human factors concepts to high-risk activities has facilitated reduction in human error. With introduction of laparoscopic cholecystectomy, the incidence of bile duct injury increased. Seeking ideas for prevention, we analyzed 300 laparoscopic bile duct injuries within the framework of human error analysis. The primary cause of error (97%) was a visual perceptual illusion. The laparoscopic environment contributed to 75% of injuries, poor visibility 22%. Most injuries involved deliberate major bile duct transection due to misperception of the anatomy. This illusion was so compelling that the surgeon usually did not recognize it. Even when irregular cues were detected, improper rules were employed, eliminating feedback. Since the complication-causing error occurred at few key steps during laparoscopic cholecystectomy; we instituted focused training to heighten vigilance, and have formulated specific rules to decrease the incidence of bile duct injury. In addition, factors in the laparoscopic environment contributing to this illusion are discussed.

scholarly journals Medicolegal costs of bile duct injuries incurred during laparoscopic cholecystectomy

HPB ◽  
2009 ◽  
Vol 11 (2) ◽  
pp. 130-134 ◽  
Author(s):  
Pankaj G. Roy ◽  
Zahir F. Soonawalla ◽  
Hugh W. Grant
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Bile Duct Injuries

ATOM Classification of Bile Duct Injuries During Laparoscopic Cholecystectomy: Analysis of a Single Institution Experience

2019 ◽  
Vol 29 (2) ◽  
pp. 206-212 ◽  
Author(s):  
Andrea Balla ◽  
Silvia Quaresima ◽  
Mario Corona ◽  
Pierleone Lucatelli ◽  
Fausto Fiocca ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Single Institution ◽  
Bile Duct Injuries

scholarly journals Difficult iatrogenic bile duct injuries following different types of upper abdominal surgery: report of three cases and review of literature

BMC Surgery ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jerzy Lubikowski ◽  
Bernard Piotuch ◽  
Anna Stadnik ◽  
Marta Przedniczek ◽  
Piotr Remiszewski ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Abdominal Surgery ◽  
Delayed Diagnosis ◽  
Biliary Leak ◽  
Bile Duct Injuries ◽  
Upper Abdominal Surgery ◽  
Different Types ◽  
Upper Abdominal ◽  
Type Of Injury

Abstract Background Iatrogenic bile duct injuries (BDIs) are mostly associated with laparoscopic cholecystectomy but may also occur following gastroduodenal surgery or liver resection. Delayed diagnosis of type of injury with an ongoing biliary leak as well as the management in a non-specialized general surgical units are still the main factors affecting the outcome. Case presentation Herein we present three types of BDIs (Bismuth type I, IV and V) following three different types of upper abdominal surgery, ie. Billroth II gastric resection, laparoscopic cholecystectomy and left hepatectomy. All of them were complex injuries with complete bile duct transections necessitating surgical treatment. All were also very difficult to treat mainly because of a delayed diagnosis of type of injury, associated biliary leak and as a consequence severe inflammatory changes within the liver hilum. The treatment was carried out in our specialist hepatobiliary unit and first focused on infection and inflammation control with adequate biliary drainage. This was followed by a delayed surgical repair with the technique which had to be tailored to the type of injury in each case. Conclusion We emphasize that staged and individualized treatment strategy is often necessary in case of a delayed diagnosis of complex BDIs presenting with a biliary leak, inflammatory intraabdominal changes and infection. Referral of such patients to expert hepatobiliary centres is crucial for the outcome.

scholarly journals Surgical Management of Bile Duct Injuries Sustained During Laparoscopic Cholecystectomy

2005 ◽  
Vol 241 (5) ◽  
pp. 786-795 ◽  
Author(s):  
Jason K. Sicklick ◽  
Melissa S. Camp ◽  
Keith D. Lillemoe ◽  
Genevieve B. Melton ◽  
Charles J. Yeo ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Surgical Management ◽  
Bile Duct Injuries

Bile Duct Injuries during Laparoscopic Cholecystectomy: Management and Outcome

2005 ◽  
Vol 71 (12) ◽  
pp. 1060-1065 ◽  
Author(s):  
Kostas Tsalis ◽  
Emmanouil Zacharakis ◽  
Konstantinos Vasiliadis ◽  
Stavros Kalfadis ◽  
Orestis Vergos ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Definitive Treatment ◽  
Biliary Disease ◽  
Adequate Treatment ◽  
Bile Duct Injuries ◽  
Duct Ligation ◽  
Duct Of Luschka ◽  
Minor Injuries

The aim of this study is to analyze our experience with the management of bile duct injuries (BDIs) following laparoscopic cholecystectomy (LC). From 1996 to 2004, 21 patients with BDI after LC were treated in our department. The BDIs were graded according to the classification of Strasberg. Ten patients had minor BDI. Minor injuries were classified as A in six and D in four patients. In three patients, endoscopic retrograde cholangiopancreatography sphincterotomy and stent placement was adequate treatment. Six patients required laparotomy and bile duct ligation or suturing, and one patient underwent laparoscopy with additional ligation of a duct of Luschka. Eleven patients had major BDIs. These injuries were classified as E1 in two, E2 in three, E3 in four, and E4 in two patients. Among the patients with a major BDI, Roux- en-Y hepaticojejunostomy was performed. After a median follow-up of 69.45 months, no evidence of biliary disease has been detected among our patients. BDIs should be managed in a specialist unit where surgeons skilled to perform such repairs should undertake definitive treatment. Roux- en-Y hepaticojejunostomy is the procedure of choice in the management of major BDIs as it is accompanied by satisfactory results.

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