BILIARY INJURIES AFTER LAPAROSCOPIC CHOLECYSTECTOMY: INCIDENCE AND MANAGEMENT

Abstract

The first Laparoscopic cholecystectomy was performed by Mouret in Lyon, France, 1987. The surgical principle is based on a primary access to the cystic pedicle via the triangle of Calot. Although laparoscopic cholecystectomy is safe it has its own set of complications which include those of laparoscopy (pneumoperitoneum related complications, bleeding, intestinal perforation, solid visceral mJury, infection, D.V.T.) and those of cholecystectomy (hemorrhage, bile duct injuries, bile leakage, gall bladder perforation and others). Bile duct injury is the most serious complication of laparoscopic cholecystectomy due to technical causes, faulty use of thermal energy, inappropriate placement of clips and misidentification of bile duct as the cystic duct etc... Lastly, laparoscopic cholecystectomy can be considered a safe method with a low overall complication rate.