title: Biliary duct injuries in the laparoscopic era: our experience.
abstract: OBJECTIVE
  The main aim of our study is to evaluate the incidence, the type, the causes and the therapy of biliary duct injuries which occurred after the video laparoscopic cholecystectomies performed in our Department during the period from 1990 to 2012.
  
  
  METHODS
  A retrospective analysis of 1186 VLC has been made in our Department from March 1990 to June 2012. Before the cholecystectomy all patient were evaluated with trans abdominal echography. Beyond the incidence of BDI was evaluated damaging mechanism, etiology, therapy and time of diagnosis.
  
  
  RESULTS
  From 1990 to 2012 a total of 9 BDIs occurred, with an incidence of 0,75%. Out of 9 patients 4 had major lesions and 5 had minor lesions; the most common BDI was Strasberg A (45%), the most common etiology was the presence of anatomical variations. In four cases the diagnosis has been intraoperative, in five cases has been postoperative.
  
  
  CONCLUSIONS
  Our clinical experience shows that the main cause of BDI are the surgeon experience and the bile ducts anatomical variation.
authors.affiliation: University of Naples Federico II, Italy.
authors.forename: C
authors.initials: C
authors.lastname: De Werra
authors.forename: R
authors.initials: R
authors.lastname: Del Giudice
authors.forename: R
authors.initials: R
authors.lastname: Di Micco
authors.forename: S
authors.initials: S
authors.lastname: Aloia
authors.forename: L
authors.initials: L
authors.lastname: Bracciano
authors.forename: M
authors.initials: M
authors.lastname: Cervotti
authors.forename: G
authors.initials: G
authors.lastname: Galloro
authors.forename: L
authors.initials: L
authors.lastname: Bucci
mesh_terms: D001652:Bile Ducts / Q000293:injuries* / Q000601:surgery*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D012189:Retrospective Studies