Bile duct injury during laparoscopic cholecystectomy: risk of procedure or professional negligence?
Amir Denjalić1, Hasan Škiljo, Hakija Bečulić
1Department of Surgery, General Hospital Tešanj, Tešanj, 2Department of Neurosurgery Cantonal Hospital Zenica, Zenica, 3Institute of Physiology. School of Medicine, University of Sarajevo, 4Faculty of Health Zenica, University of Zenica, Zenica; Bosnia and Herzegovina.
Abstract:
Laparoscopic cholecystectomy introduced in the late eighties has now become the gold standard and has taken the place of conventional cholecystectomy. Bile duct injury during cholecystectomy is an iatrogenic, but rare catastrophe associated with significant morbidity and mortality. The incidence of bile duct injuries during laparoscopic cholecystectomy is 0.1-0.42%. We have presented a patient who underwent laparoscopic cholecystectomy which got complicated with bile duct injury grade four. The complication was recognized three weeks later. A remediation of complications was performed in a reference center with full involvement of the primary surgeon.
