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Risks of Common Bile Duct Injury during Open Laparoscopic Cholecystectomy & its Management

Ali Ibrahim Yahya , Ali Ibrahim Yahya

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New Indian Journal of Surgery 5(1-2):p 15-17, January - June 2014. | DOI:

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Abstract

We reviewed the records of our patients admitted at Zliten University Hospital over past 23 years, from 1991 to 2013. 6000 patients were admitted & cholecystectomy was performed. All cases had routine investigations. Most of them had cholelithiasis with chronic cholecystitis. Those with acute cholecystitis were not included in the series. Mainly surgery of was done by junior doctors under the supervision of seniors. 13 cases had injury of common bile duct, in 5 cases it was reconciled postoperatively by bile leak & peritonitis & jaundice, in 8 cases the injury was recognized on table & repair was done by reux en y method, one had choledo chodudenostomy, one case died after 6 years due to septicemia from cholangitis, One case died after 16 years due to secondary biliary cirrhosis, one case died due to septicemia though after a normal course of two months & one case had repetition of reux en y method for stone removal after 6 years. 

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