BILIARY TRACT SURGERY

SURGICAL COMPLICATIONS

Abstract

Surgical complication after biliary tract injury are serious complications of Hepatobiliary surgery. The
incidence of iatrogenic bile duct injuries has increased significantly since the number of cholecystectomy operations
have increased, laparoscopic cholecystectomy became the "gold standard", mini-cholecystectomy established for the
treatment of cholelithiasis. Intraoperative hemorrhage can be life-threatening or may lead the death. The common uses
of laparoscopic cholecystectomy and mini-cholecystectomy have made the young surgeons less familiar with open
cholecystectomy procedure and the approaches to manage the biliary tract injuries. Uncommonly the patient had to
undergo hepatic transplantation secondary to biliary tract surgery with several vessel injuries or biliary cirrhosis.
Postoperative bile leakage can be managed by effective drainage as soon as possible. These complications uncommon
with the expert surgeons, but common with comparatively inexperienced surgeons. There is no substitute of experience
and caution in biliary surgery for optimization technique.