Complications of laparoscopic cholecystectomy (L.C) in Imam Reza hospital in Kermanshah (2006-2012)

authors:

avatar Ezatollah Sadeghi 1 , avatar Khosrou Setayeshi 1 , avatar Mohamad Ali Hesami 1 , avatar Saba Mesbahi 1 , avatar Najmeh Bagher Hosseini 1 , *

Dept. of Surgery, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

how to cite: Sadeghi E, Setayeshi K, Hesami M A, Mesbahi S, Bagher Hosseini N. Complications of laparoscopic cholecystectomy (L.C) in Imam Reza hospital in Kermanshah (2006-2012). J Kermanshah Univ Med Sci. 2014;17(10):e74337. doi: 10.22110/jkums.v17i10.1531.

Abstract

Background: laparoscopic cholecystectomy has become a technique of choice for treatment and removal of gallbladder problems. Various studies have been done on its effectiveness & complications. The most common complications are bile duct injuries, bile leakage, wound infection and bile peritonitis.
Methods: This study retrospectively analysed the total number of laparoscopic cholecystectomy cases performed in Imam Reza hospital (2006-2012). According to the patient's profile, we tried to determine the actual incidence of complications after L.C.
Results: Total of 1380 patients were studied, from whom 1074 cases were female (77.8%). The average age of the participants was 48.11(0/7%). The most common complications were bile duct injuries and bile leakage. The most common location of biliary damage was CBD (61%). Cystic duct injuries and other accessory bile ducts were categorized as following priorities. Incidence of collections after surgery was 15 cases (1.08%). The majority of bile duct injuries were surgically treated (81%),  using biliary-enteric anastomosis procedure.
Conclusion: The most common and challenging complications of L.C were bile duct injury and bile leakage that occur for patients due to tragic consequences. The most common surgical repair method for bile injuries is biliary-enteric anastomosis and insertion of T.Tube. The alternative method is percutaneous drainage for small leakages.

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