Treatment of the iatrogenic lesion of the biliary tree secondary to laparoscopic cholecystectomy: a single center experience

Alessandro Tropea, Duilio Pagano, Antonio Biondi, Marco Spada, Salvatore Gruttadauria

Research output: Contribution to journalReview articlepeer-review

Abstract

Surgical bile duct injury (SBDI), during laparoscopic cholecystectomy, is a worldwide ongoing problem. The purpose of this study is to analyze a single center retrospective experience with this topic. From 1999 to 2012, 30 patients with diagnosis of SBDI after laparoscopic cholecystectomy performed in other institute for gallbladder lithiasis and then transferred to our facility were enrolled in this analysis. We considered in the study the following parameters: classification and site of the bile duct injury, infective complications and therapeutic management according to early or late referral. Twenty four patients (80 %) had a SBDI type E1; a concomitant vascular injury was described in 3/30 (10 %) in right hepatic artery. 11 patients had HJJ as primary surgical treatment in our hospital. Surgical site infection was documented in 9/30 (30 %). The most common micro-organisms documented in SSI were E. coli with an incidence of 55.5 % of SSI. Worse infective complications were detected in the late referral group. Complex SBDI occurred during laparoscopic cholecystectomy should be early referred to advanced hepatobiliary program, for appropriate multidisciplinary management.

Original languageEnglish
Pages (from-to)143-148
Number of pages6
JournalUpdates in Surgery
Volume68
Issue number2
DOIs
Publication statusPublished - Jun 1 2016

Keywords

  • Endoscopic retrograde cholangiopancreatography
  • Gallbladder lithiasis
  • Percutaneous transhepatic cholangiography
  • Surgical bile duct injury

ASJC Scopus subject areas

  • Surgery

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