[Clinical study on primary repair for bile duct injury during laparoscopic cholecystectomy].
OBJECTIVE
To evaluate the place of primary repair of bile duct injury during laparoscopic cholecystectomy (LC).


METHODS
Between 1994 and 2004, 53 of a total 14 302 cases were identified with bile duct injury. The indication, methods and outcome of primary repair for 17 cases of bile duct injury were analyzed.


RESULTS
Forty-Two of 53 cases of bile duct injury were identified at the time of operation, thirty three involved a tear of the common, hepatic or right hepatic bile duct, and 17 cases received primary repair. Drainage tubes were placed in 7 cases, and biliary drainage through the cystic duct was performed in 10 cases. All patients recovered well and got out of bed within 6 hours postoperatively. The alimentary tract recovered in 24 hours after operation in all cases, and their mean hospitalization was 4.6 days. Sixteen patients were followed up, and no stricture of bile duct was found.


CONCLUSIONS
Repair of bile duct injury during LC is safe and effective in selected cases.
Wang
Xian-fa
XF
Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou 310016, China.
Li
Wei
W
Cai
Xiu-jun
XJ
Liang
Xiao
X
Yu
Hong
H
Cai
Xiao-yan
XY
D000328:Adult; D001652:Bile Ducts / Q000293:injuries* / Q000601:surgery*; D001662:Biliary Tract Surgical Procedures; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery*; D008297:Male; D016896:Treatment Outcome