Scientific paper
Complications of laparoscopic cholecystectomy

https://doi.org/10.1016/0002-9610(91)90605-DGet rights and content

Abstract

The emergence of laparoscopic cholecystectomy as a viable alternative to traditional cholecystectomy has been greeted with enthusiasm by the surgical community. This new technique is not without complications, both potential and real. The complications associated with diagnostic laparoscopy are well documented, as are those associated with traditional cholecystectomy. All of these may also be seen with laparoscopic cholecystectomy. The incidence of their occurrence, however, may vary. It remains too early to evaluate the complication rates from this new procedure, as reports of large series are just beginning to emerge. Early reports are encouraging but caution that bile duct injury, hemorrhage, and even death may occur. Early enthusiasm for this new method must be tempered with care in its practice if complication rates are to be maintained at an acceptable level and the procedure is to earn a permanent place in the armamentarium of the surgeon.

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  • Treatment of late identified iatrogenic injuries of the right and left hepatic duct after laparoscopic cholecystectomy without transhepatic stent and Witzel drainage: Case report

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    Citation Excerpt :

    Complications of the biliary leak such as cholangitis, bleeding, anastomotic strictures and biliary cirrhosis remain a major concern affecting a patient’s outcome after the surgical operation is done [5]. Bile duct lesions were more common in laparoscopic cholecystectomy, the incidence is about 0.6% than in laparotomy method where the incidence is about 0.1% [6–9]. In most cases, treatment of iatrogenic BDI is based on primary repair of the duct, ductal repair with a stent, or creating duct-enteric anastomosis, often used and drainage by Witzel (Witzel enterostomy).

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Presented as part of a postgraduate course on interventional laparoscopy during the American College of Surgeons 1990 Clinical Congress, San Francisco, California, October 12,1990.

1

From the Department of Surgery, Case Western Reserve University School of Medicine, and The Mt. Sinai Medical Center, Cleveland, Ohio.

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