Analysis Of Bile Duct Injury In Laparoscopic Cholecystectomy

Objective:To explore the preventive and therapeutic strategy of bile duct injury caused by laparoscopic cholecystectomy(LC).Methods:We retrospectively analyzed 11 cases of bile duct injury in 1154 cases of laparoscopic cholecystectomy performed from June 2003 to December 2007.Results:According to Strasberg classification,9 cases(Typeâ…£) with diameter=3mm were cured by sewing up the wound of bile duct and placing T type tube to drain bile,while the other two cases(Typeâ…¤andâ…§) were cured by cholangioplasty and cholangiojejunum Roux-en-Y anastomosiS.Through 6 months to 1 years' follow-up,no such complications as bile duct stricture or lithiasis were found.Conclusion:The primary reason is lack of understanding of the anatomy variety and pathological change,as well as responsibility and experience or skill of the operaters.The bile duct injury caused by LC should be found and tackled in time in order to achieve satisfactory prognosis.