Bile duct injury following cholecystectomy.
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| Abstract | OBJECTIVE: To describe the epidemiological, clinical and surgical features of patients with iatrogenic bile duct injury (IBDI) attending the General Hospital of Fortaleza (HGF) during the period from 2005 to 2009. METHODS: We conducted a retrospective study of medical records of patients admitted to HGF with the diagnosis of IBDI, evaluating the following variables: gender, age, origin, conditions of cholecystectomy, type of surgery, symptoms, exams performed, surgical findings, classification of injury, treatment, complications, total duration of hospitalization and discharge conditions. RESULTS: There were 27 confirmed cases of IBDI. Two injuries occurred during laparoscopic cholecystectomy. Only one patient was diagnosed intraoperatively. The most frequent sign was jaundice after cholecystectomy. Hepato-duodenal Y-en-Roux anastomosis was the most often employed surgical technique (85.2%). Most patients were discharged from hospital in good clinical condition (88.8%), however, we found high morbidity rates for this disease, exemplified by the multiple hospitalizations and longer hospital stay (mean 31 days). CONCLUSION: Most injuries occurred during open cholecystectomy, jaundice was the most frequent sign upon admission. There was a high hospitalization length of stay, caused by postoperative complications, which could be explained by delayed diagnosis resulting in a large delay in treatment.
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| Authors | Bruno Lima Linhares, Aline da Graça Magalhães, Paula Mariana Soares Cardoso, Jaime Paula Pessoa Linhares Filho, José Eudes Bastos Pinho, Marcelo Leite Vieira Costa |
| Journal | Revista do Colegio Brasileiro de Cirurgioes (Rev Col Bras Cir) 2011 Mar-Apr Vol. 38 Issue 2 Pg. 95-9 ISSN: 1809-4546 [Electronic] Brazil |
| PMID | 21710046 (Publication Type: Journal Article) |
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