Recognition and management of biliary complications after laparoscopic cholecystectomy.
Benjamin NJ Thomson, Mark J Cullinan, Simon W Banting, Neil A Collier, undefined Universities of Melbourne Hepatobiliary Group
ANZ Journal of Surgery | Published : 2003
INTRODUCTION: Injuries to the extrahepatic biliary tree at laparoscopic cholecystectomy cause major morbidity and are a major source of litigation. Injuries are often diagnosed late, leading to further complications and decreasing the chance of a successful repair. METHODS: A prospective study was carried out of all patients with extrahepatic biliary injuries from cholecystectomy who were referred to the surgeons of the Universities of Melbourne Hepatobiliary Group between 1997 and 1999. RESULTS: Twenty-seven patients sustained biliary injuries to the extrahepatic biliary tree. Twenty patients (74%) had unrecognized injuries at the time of cholecystectomy. The median time to referral was 9 d..View full abstract