Related Experiment Video
Updated: May 23, 2026
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Major bile duct injuries during cholecystectomy in children: conservative laparoscopic approach is possible
Anne Farinetti1, Hèlene Le Hors, Mirna Haddad
1Department of Paediatric Surgery, Hôpital d'Enfants de La Timone, Marseille, France.
Insights
Bile duct injury can occur during cholecystectomy. Laparoscopic conservative treatment successfully repaired an iatrogenic bile duct ligation in a pediatric patient, showing good results 5 years post-procedure.
Area of Science:
- Gastroenterology and Hepatobiliary Surgery
- Pediatric Surgery
- Surgical Complications
Background:
- Bile duct injury (BDI) is a known complication of cholecystectomy, both open and laparoscopic.
- Management options for choledochal lesions include conservative approaches or surgical reconstruction, such as Roux-en-Y hepaticojejunostomy.
Observation:
- A 5-year-old boy presented with iatrogenic bile duct ligation following an open cholecystectomy for asymptomatic gallstones.
- The patient underwent a laparoscopic conservative treatment for the bile duct injury.
Findings:
- The laparoscopic conservative treatment demonstrated a consistent and favorable outcome.
- The patient maintained good results 5 years after the surgical intervention.
Implications:
- This case highlights the potential for successful laparoscopic conservative management of iatrogenic bile duct injuries in pediatric patients.
- Minimally invasive approaches may offer effective solutions for bile duct complications, potentially reducing morbidity.
- Early and appropriate intervention is crucial for managing bile duct injuries and ensuring long-term patient well-being.
Abstract:
Major bile duct injury is an inherent complication in cases of both open and laparoscopic cholecystectomies. In case of choledochal lesion, conservative treatment or internal derivation by a Roux-en-Y can be proposed. We report the case of a 5-year-old boy referred to our center for an iatrogenic choledochal ligation after open cholecystectomy (performed 20 d before) for asymptomatic gallbladder stone. We performed a laparoscopic conservative treatment with a consistent good result 5 years after the procedure.
