Complications of laparoscopic cholecystectomy (L.C) in Imam Reza hospital in Kermanshah (2006-2012)

AUTHORS

Ezatollah Sadeghi 1 , Khosrou Setayeshi 1 , Mohamad Ali Hesami 1 , Saba Mesbahi 1 , Najmeh Bagher Hosseini 1 , *

AUTHORS INFORMATION

1 Dept. of Surgery, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

How to Cite: Sadeghi E, Setayeshi K, Hesami M A, Mesbahi S, Bagher Hosseini N. Complications of laparoscopic cholecystectomy (L.C) in Imam Reza hospital in Kermanshah (2006-2012), J Kermanshah Univ Med Sci. 2014 ; 17(10):e74337. doi: 10.22110/jkums.v17i10.1531.

ARTICLE INFORMATION

Journal of Kermanshah University of Medical Sciences: 17 (10); e74337
Published Online: January 29, 2014
Article Type: Research Article
Received: July 13, 2013
Accepted: December 03, 2013
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Abstract

Background: laparoscopic cholecystectomy has become a technique of choice for treatment and removal of gallbladder problems. Various studies have been done on its effectiveness & complications. The most common complications are bile duct injuries, bile leakage, wound infection and bile peritonitis.

Methods: This study retrospectively analysed the total number of laparoscopic cholecystectomy cases performed in Imam Reza hospital (2006-2012). According to the patient's profile, we tried to determine the actual incidence of complications after L.C.

Results: Total of 1380 patients were studied, from whom 1074 cases were female (77.8%). The average age of the participants was 48.11(0/7%). The most common complications were bile duct injuries and bile leakage. The most common location of biliary damage was CBD (61%). Cystic duct injuries and other accessory bile ducts were categorized as following priorities. Incidence of collections after surgery was 15 cases (1.08%). The majority of bile duct injuries were surgically treated (81%),  using biliary-enteric anastomosis procedure.

Conclusion: The most common and challenging complications of L.C were bile duct injury and bile leakage that occur for patients due to tragic consequences. The most common surgical repair method for bile injuries is biliary-enteric anastomosis and insertion of T.Tube. The alternative method is percutaneous drainage for small leakages.

Keywords

Laparoscopic cholecystectomy bile duct injury complication

© 2014, Journal of Kermanshah University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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