BILE DUCT INJURIES

FREQUENCY DURING CHOLECYSTECTOMY PROCEDURES EITHER OPEN OR LAPAROSCOPIC

Abstract

Objective: To find out frequency of bile duct injuries during cholecystectomy
procedures either open or laparoscopic. Study design: Prospective observational study. Place
and duration of study: This study was conducted at Surgical department, Liaquat University
Hospital Jamshoro and Dow International Hospital Karachi, from July 2012 to December
2013. Methodology: This study consisted of hundred patients. Patients were divided in two
groups. Group A for open cholecystectomy (OC) comprising of 50 patients who underwent
elective open cholecystectomy. Group B for Laparoscopic cholecystectomy (LC) comprising
of 50 patients who underwent elective Laparoscopic cholecystectomy. Inclusion criteria were
all patients diagnosed case of gallstones on the basis of ultrasound abdomen, any age and
both gender. Exclusion criteria included not willing for surgery, General anesthesia problem,
pregnant ladies due to risk of foetal loss, carcinoma of gall bladder, stone in CBD and obstructive
jaundice. Results: Out of 100 cases of gallstone were operated for either laparoscopic / open
cholecystectmy. In open cholecystectomy group 20(40 % ) were male and 30(60 %) female.
Ratio male: female ratio of 1:1.5. In laparoscopic cholecystectomy group 11(22 % ) were male
and 39(78 %) female with male: female ratio of 1:3.5. There was wide variation of age ranging
from a minimum of 10 year to 70 year in both group. The mean age was 41.28+12.30 years
for OC group and 38.44+13.50 years for LC group (p 0.02). Common bile duct injury were
occurred 2(4%) patients in laparoscopic cholecystectomy group while 3(6%) patients observed
in open cholecystectomy group. Conclusions: We conclude that found bile duct injury 2(4%)
patients in laparoscopic cholecystectomy group while 3(6%) patients observed in open
cholecystectomy group