Laparoscopic Cholecystectomy Related Biliary complication



A. Elhamel

Department of Surgery, Faculty of Medicine, Elfateh University, Tripoli, Libya

JMJ Vol. 2, No. 3 (March 2003): 05-07


Laparoscopic cholecystectomy (LC) is now acknowledged as standard treatment for patient requiring cholecystectomy. Bile leak and bile duct injury during LC tend to occur with frequency higher than that expected with open cholecystectomy. safer LC outcome depends on preoperative evaluation of bile ducts and awareness of the possibility of bile ducts injury, facilitated by intraoperative visualization of extrahepatic bile ducts, should prompt careful operative exposure and minimizes the occurrence of LC related biliary complication. Early recognition and immediate expert repair of bile duct injuries has highest success rate. If the local condition is unfavourable, referral of patients with suspected biliary complication to specialised centre is recommended

Keywords: laparoscopic cholecystectomy, Gallbladder stones, common bile duct stones, endoscopic retrograde cholangiopancreatography ( ERCP), bile leak, bile duct injury