Biliary tract injury during cholecystectomy: a retrospective descriptive review of clinical features, treatment and outcome

Silva, Wmm de; Sivananthan, S.; Silva, D De; Fernando, Neluka

doi:10.4038/cmj.v51i4.1141

Cited by 10 publications

(8 citation statements)

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“…Currently, laparoscopic cholecystectomy is widely accepted as the gold standard in the treatment of cholelithiasis [15][16][17][18] . This new technique was initially associated with a significant increase in morbidity, and in particular, in iatrogenic biliary injury and arterial hemorrhage [19][20][21][22][23][24][25][26][27][28][29][30] , perhaps due to a lack of knowledge of the laparoscopic anatomy of the gallbladder pedicle. Therefore, the laparoscopic surgeon has to deal with the new anatomical views and must be aware of the possible arterial and biliary variants.…”

Section: Introductionmentioning

confidence: 99%

New classification of the anatomic variations of cystic artery during laparoscopic cholecystectomy

Ding

Wang²,

Wang³

et al. 2007

WJG

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Section: Introductionmentioning

confidence: 99%

New classification of the anatomic variations of cystic artery during laparoscopic cholecystectomy

Ding

Wang²,

Wang³

et al. 2007

WJG

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“…Only few studies are available on the subject of iatrogenic bile duct injuries [23,24,35]. However the reality is, during a period of 9 years a single tertiary referral centre had received a total of 67 bile duct injury referrals with 4 deaths [23,24,33].…”

Section: Symposium -Iatrogenic Bile Duct Inuries Symposium -Iatrogenimentioning

confidence: 99%

A debate: Is major bile duct injury preventable?

Silva

2012

Sri Lanka j Surg

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In the history of general surgery perhaps there in no other single surgical procedure that has created such an impact as laparoscopic cholecystectomy. Reasons are well known and are all evidence based.[1] With it came a string of complications inherent to laparoscopic surgery. Of all, major bile duct injury is the most serious and the most dreaded complication of laparoscopic cholecystectomy. [7,8,29] are either unique or specific to laparoscopic surgery. During last two decades, many stake holders such as surgical colleges and societies, universities, hospitals, instrument manufacturers and enthusiastic individual surgeons in many parts of the globe have taken multitude of steps to minimize the occurrence of BDI. Advanced surgical simulators with facilities for objective self assessment of laparoscopic dexterity skills, live animal and frozen human cadaver dissections, live workshops by experts, training programmes and mentoring systems, close supervision of laparoscopic procedures, centralized data bases for reporting the procedures and complications are often cited contributions . However inspite of the steps mentioned, the global incidence of bile duct injuries appear to be approximately four times higher than that of injuries following open cholecystectomy and this fact has remained stable in .

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“…Only few published data on iatrogenic bile duct injuries exist in the Sri Lankan literature (7,8,9). In 2010, we analysed and presented the patient profiles, injury mechanisms, management issues and outcome of 65 patients referred to one tertiary care facility from 2002 to 2010.…”

Section: Bile Duct Injuries In Sri Lankamentioning

confidence: 99%

Management and prevention of iatrogenic bile duct injury

Silva¹

2011

Sri Lanka j Surg

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Biliary tract injury during cholecystectomy: a retrospective descriptive review of clinical features, treatment and outcome

Cited by 10 publications

References 0 publications

New classification of the anatomic variations of cystic artery during laparoscopic cholecystectomy

New classification of the anatomic variations of cystic artery during laparoscopic cholecystectomy

A debate: Is major bile duct injury preventable?

Management and prevention of iatrogenic bile duct injury

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