Biliary complications associated with laparoscopic cholecystectomy--an analysis of common misconceptions.
BACKGROUND
Several views are expressed by surgeons on biliary complications following laparoscopic cholecystectomy as follow: most are caused by trainees; complications occur in the presence of difficult anatomy/pathology; injuries occur more proximally than at open cholecystectomy; most injuries are recognised immediately and most can be managed non-operatively. The aim of our study was to determine if these views are substantiated in clinical practice.


METHODS
The mode of presentation, management and outcome of thirty-two patients referred to a hepatobiliary unit over a seven year period were analysed.


RESULTS
In 72% of cases the initial operator was a consultant. Five of the 32 complications (16%) occurred in the presence of difficult anatomy/pathology. Two patients had proximal biliary tree injuries, the only mortalities (two) occurring in this group. Only 41% of injuries were detected immediately; 87% required surgical intervention, hepaticojejunostomy being the most common procedure performed (75%).


CONCLUSIONS
Our study shows that the majority of bile duct injuries are not caused by trainees, do not occur because of unusual anatomy/pathology, do not occur in the proximal biliary tree and are not recognised at the time of operation. Most injuries ultimately require major reconstructive surgery for definitive management.
Bingham
J
J
Department of Hepatobiliary Surgery, Mater Hospital, Crumlin Road, Belfast BT14 6AB.
McKie
L D
LD
McLoughlin
J
J
Diamond
T
T
D001660:Biliary Tract Diseases / Q000453:epidemiology / Q000209:etiology*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007494:Ireland / Q000453:epidemiology; D008297:Male; D008875:Middle Aged