Categories

Volume 7 Issue 8 (August, 2019)

Original Articles

Treatment outcomes in cases with bile leakage following cholecystectomy
Kul Bhushan Jain, Rajesh Arora

Background: Last several decades laparoscopic cholecystectomy has become a gold standard in treatment of symptomatic cholelithiasis, even in patients with acute cholecystitis. Patients who undergo laparoscopic treatment recover faster, have easier postoperative course and earlier discharge from hospital. However, laparoscopic cholecystectomy is associated with higher risk of intraoperative lesions, primarily lesions of biliary ducts, intestines and vascular structures.Aim of the study: To study the treatment outcomes in cases with bile leakage following cholecystectomy. Materials and methods: The study was conducted in the department of General Surgery of the Medical institute. We included 120 patients admitting to the Department of General Surgery with the diagnosis of biliary leakage after undergoing cholecystectomy. Patients between the ages of 14 years to 60 years were included in the study. The patients having other systemic diseases such as leukemia, diabetes mellitus were excluded from the study. Results: In the present study a total of 120 cases were included in the study. The age of the patients ranged between 14 to 60 years with mean age at 42.21 years. No. of cases who underwent open cholecystectomy was 41 and no. of cases who underwent laparoscopic cholecystectomy was 79. The major bile duct injury was seen in 12 patients who underwent open cholecystectomy and in 18 patients who underwent laparoscopic cholecystectomy. Conclusion: In conclusion, bile duct injury during cholecystectomy procedure can be highly deliberating to the patient and proper management should be done for these cases. Keywords: Bile duct, cholecystectomy, cholecystitis.

 
Html View | Download PDF | Current Issue