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Review
. 2016 May;4(9):163.
doi: 10.21037/atm.2016.05.07.

Biliary tract injuries after lap cholecystectomy-types, surgical intervention and timing

Michail Karanikas  1 , Ferdi Bozali  1 , Vasileia Vamvakerou  1 , Markos Markou  1 , Zeinep Tzoutze Memet Chasan  1 , Eleni Efraimidou  1 , Theodossis S Papavramidis  1
Affiliations
Review

Biliary tract injuries after lap cholecystectomy-types, surgical intervention and timing

Michail Karanikas et al. Ann Transl Med. 2016 May.

Abstract

Bile duct lesions, including leaks and strictures, are immanent complications of open or laparoscopic cholecystectomy (LC). Endoscopic procedures have gained increasing potential as the treatment of choice in the management of postoperative bile duct injuries. Bile duct injury (BDI) is a severe and potentially life-threatening complication of LC. Several series have described a 0.5% to 0.6% incidence of BDI during LC. Early recognition and an adequate multidisciplinary approach are the cornerstones for the optimal final outcome. Suboptimal management of injuries often leads to more extensive damage to the biliary tree and its vasculature. Early referral to a tertiary care center with experienced hepatobiliary surgeons and skilled interventional radiologists would appear to be necessary to assure optimal results.

Keywords: Biliary tract; hepatobiliary surgeons; laparoscopic cholecystectomy (LC).

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

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