Publication:

Analysis of the risk factors, acute presentation, management and outcome associated with post cholecystectomy bile duct injury

Background Cholecystectomy is one of the most common surgeries in the world. However, its complication has dangerous effects on the patient's health and economic status. It also increases the patient's morbidity and mortality. Objective was to investigate the risk factors, acute presentation, treatment, and outcome of bile duct injury after cholecystectomy.

Methods This prospective observational study included a total of 70 patients aged 18 years who underwent surgery for benign gallbladder disease. Malignancies of the gallbladder system, injury to the bile duct due to trauma, age >18 years or >70 years were excluded from the study. Various risk factors were queried preoperatively, intraoperatively, and postoperatively from patients and surgeons, and a conclusion was drawn.

Results Most patients were in the age group 31-50, namely 45 (64.28%). Of the total 70 patients, 20 (28.58%) were male and 50 (71.42%) were female. Total 06 (75%) patients have severe adhesion and 02 (25%) patients have mild adhesion. Of the total 70 patients, only 08 patients have the CALOTS triangle. Total 06 (8.57%) patients had no drainage and 64 (91.42%) patients had drainage. Total 52 (74.28%) most patients had pigtail drainage and 02 (2.85%) least patients had portal vein repair. Most patients were discharged after 54 (71.42%), 09 (12.85%) after discharge on patient request (DOPR), and the fewest patients, 02 (2.85%), were not discharged.

Conclusions In most cases, bile duct injury occurs after surgery for uncomplicated gallstone disease. Bile duct injury is associated with a variety of surgical complications and can be fatal. Bile duct injury is more common in women because gallstone disease is more common in women.