Skip to main content
SpringerLink
Log in

Bile Duct Injuries

  • Conference paper
Laparoscopic Surgery

  • 247 Accesses

Abstract

The majority of the injuries of the biliary tract is iatrogenic. They are usually associated with operations in the upper abdomen. More than 80% of the injuries occur during cholecystectomy, which is the most common operation of the digestive system. Langenbuch performed the first cholecystectomy in 1882, after which the number of cholecystectomies increased rapidly, inevitably increasing the number of complications. Iatrogenic bile duct injuries are unfortunately not rare and may have disastrous consequences and very significant long-term morbidity and mortality.1,2 With adherence to well-established technical principles for open cholecystectomy, the incidence of bile duct injuries remained less 0.5% in most of the published retrospective series.3–5

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Moossa AR, Mayer AD, Stabile B. Iatrogenic injury to the bile duct. Who, how, where. Arch Surg 1990;125:1028–1031.

    CAS  Google Scholar 

  2. Smith EB. Iatrogenic injuries to extrahepatic bile duct and associated vessels: a 25-year analysis. J Natl Med Assoc 1982;74:735–738.

    PubMed  CAS  Google Scholar 

  3. Roslyn JJ, Binns GS, Hughes EFX, et al. Open cholecystectomy. A contemporary analysis of 42,474 patients. Ann Surg 1993;218:129–137.

    CAS  Google Scholar 

  4. Route M, Podlech P, Jaschke W, et al. Management of bile duct injuries and strictures following cholecystectomy. World J Surg 1993;17:553–562.

    Article  Google Scholar 

  5. Gouma DJ, Go PM. Bile duct injury during laparoscopic and conventional cholecystectomy. J Am Coll Surg 1994;253:229–233.

    Google Scholar 

  6. Deziel DJ, Millikan KW, Economou SG, et al. Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,640 cases. Am J Surg 1993;165:9–14.

    Article  PubMed  CAS  Google Scholar 

  7. Peck JJ. Endoscopic cholecystectomy: an analysis of complications. Arch Surg 1991;126:1197.

    Google Scholar 

  8. Wolfe BM, Gardiner BN, Leary BF, et al. Endoscopic cholecystectomy: an analysis of complications. Arch Surg 1991;126:1192–1198.

    Article  PubMed  CAS  Google Scholar 

  9. Bonatsos G, Leandros E, Dourakis N, et al. Laparoscopic eholesystectomy. Intraoperative findings and postoperative complications. Surg Endosc 1995; 9:889–893.

    PubMed  CAS  Google Scholar 

  10. Rossi RL, Schirmer WJ, Braasch JW, et al. Laparoscopic bile duct injuries. Risk factors, recognition and repair. Arch Surg 1992;127:596–602.

    Article  PubMed  CAS  Google Scholar 

  11. Asbun HJ, Rossi RL, Lowell JA, et al. Bile duct injury during laparoscopic cholecystectomy: mechanism of injury, prevention and management. World J Surg 1993;17:547–552.

    Article  PubMed  CAS  Google Scholar 

  12. Blumgart LH, Kelley CI, Benjamin IS. Benign bile duct strictures following cholecystectomy: critical factors in management. Br J Surg 1984;71:836–843.

    Article  PubMed  CAS  Google Scholar 

  13. Csendes A, Diaz JC, Burdiles P, et al. Mirizzi syndrome and cholecystobiliary fistula: a unifying classification. Br J Surg 1989;76:1139–1143.

    Article  PubMed  CAS  Google Scholar 

  14. Davidoff AM, Pappas TN, Murray EA, et al. Mechanisms of major biliary injury during laparoscopic cholecystectomy. Ann Surg 1992;21593:196–202.

    Article  Google Scholar 

  15. Southern Surgeons Club. A prospective analysis of 1,518 laparoscopic cholecystectomies. N Engl J Med 1991;324:1073–1078.

    Article  Google Scholar 

  16. Larson GM, Vitale GC, Casey, et al. Multipractice analysis of laparoscopic cholecystectomy in 1,983 patients. Am J Surg 1992;163:221–226.

    Article  PubMed  CAS  Google Scholar 

  17. Easter DW, Moossa AR. Laser and laparoscopic cholecystectomy: a hazardous union. Arch Surg 1991;126:423.

    Google Scholar 

  18. Pitt HA, Miyamoto T, Parapatis SK, et al. Factors influencing outcome in patients with postoperative biliary strictures. Am J Surg 144:14–21.

    Google Scholar 

  19. Lee MJ, Mueller PR, Saini S, et al. Percutaneous dilatation of benign biliary strictures: single-session therapy with general anesthesia. AJR 1991;157:1263–1266.

    PubMed  CAS  Google Scholar 

  20. Maccioni F, Rossi M, Salvatori FM, et al. Metallic stents in benign biliary strictures: three-year follow-up. Card Interv Radiol 1992;15:360–366.

    Article  CAS  Google Scholar 

  21. Trambert JJ, Bron KM, Zajko AB, et al. Percutaneous transhepatic balloon dilatation of benign biliary strictures. AJR 1987;149:945–948.

    PubMed  CAS  Google Scholar 

  22. Rezieg M, Barkun JS, Barkun AN. The management of bile leaks in the era of laparoscopic cholecystectomy. Gastrointest Endosc 1993;39:330.

    Google Scholar 

  23. Howell DA, Bosco JL, Sampson LN, et al. Endoscopic management of cystic duct fistulas after laparoscopic cholecystectomy. Endoscopy 1992;24:796–798.

    Article  PubMed  CAS  Google Scholar 

  24. Davids PHP, Rauws EAJ, Coene PPLO, et al. Endoscopic stenting for postoperative biliary strictures. Gastrointest Endosc 1992;38:12–18.

    Article  PubMed  CAS  Google Scholar 

  25. Berkelhammer C, Kortan P, Haber GB. Endoscopic biliary prosthesis as treatment for benign postoperative bile duct strictures. Gastrointest Endoc 1989; 35:95–101.

    Article  CAS  Google Scholar 

  26. Lillemoe KD, Pitt HA, Cameron JL. Postoperative bile duct strictures. Surg Clin N Am 1990;70:1355–1379.

    PubMed  CAS  Google Scholar 

  27. Rossi RL, Tsao JL. Biliary reconstruction. Surg Clin N Am 1994;74:825–841.

    PubMed  CAS  Google Scholar 

  28. Branum G, Schmitt C, Baillie J, et al. Management of major biliary complications after laparoscopic cholecystectomy. Ann Surg 1993;217:532–542.

    Article  PubMed  CAS  Google Scholar 

  29. Hepp J. Hepaticojejunostomy using the left biliary trunk for iatrogenic biliary lesions: the French connection. World J Surg 1985;9:507–511.

    Article  PubMed  CAS  Google Scholar 

  30. Wexler MJ, Smith R. Jejunal mucosal graft: a sutureless technique for repair of high bile duct strictures. Am J Surg 1975;129:204–211.

    Article  PubMed  CAS  Google Scholar 

  31. Warren KW, Christophi C, Armendari ZR. The evolution and current perspectives of the treatment of benign bile duct strictures: a review. Surg Gastroenterol 1982;1:141–154.

    Google Scholar 

  32. Genest JF, Ganon E, Grunfest-Broniatowski S. Benign biliary stricutres: an analytic review (1970–1984). Am Surg 1986;99:409–413.

    CAS  Google Scholar 

  33. Innes JT, Ferrara JJ, Carey LC. Biliary reconstruction without transanastomotic stent. Am Surg 1988;54:27–30.

    PubMed  CAS  Google Scholar 

  34. McDonald ML, Farnell MB, Nagorney DM, et al. Benign biliary strictures: repair and outcome with a contemporary approach. Surgery 1995;118:582–591.

    Article  PubMed  CAS  Google Scholar 

  35. Pellegrini CA, Thomas MJ, Way LW. Recurrent biliary stricture: patterns of recurrence and outcome of surgical therapy. Am J Surg 1984;147:175–180.

    Article  PubMed  CAS  Google Scholar 

  36. Csendes A, Diaz JC, Burdiles P, et al. Late results of immediate primary end-to-end repair in accidental section of the common bile duct. GO 1989;168:125–130.

    CAS  Google Scholar 

Download references

Authors
  1. Ioannis G. Kaklamanos
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dana K. Andersen
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Surgery, Yale University School of Medicine, New Haven, Connecticut, 06510, USA

    Ronald C. Merrell MD, FACS (Lampman Professor and Chairman) & Robert M. Olson III MD (Fellow) (Lampman Professor and Chairman) &  (Fellow)

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Springer Science+Business Media New York

About this paper

Cite this paper

Kaklamanos, I.G., Andersen, D.K. (1999). Bile Duct Injuries. In: Merrell, R.C., Olson, R.M. (eds) Laparoscopic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1408-3_5

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-1408-3_5

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7132-1

  • Online ISBN: 978-1-4612-1408-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation