Related Experiment Video
Updated: Dec 9, 2025
Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
Recovery from a biliary stricture of a common bile duct ligature injury: A case report
Zhe Fan1, Ji-Yong Pan1, Ye-Wei Zhang2
1Department of General Surgery, the Third People's Hospital of Dalian, Dalian Medical University, Dalian 116033, Liaoning Province, China.
Background:
Cholecystectomy is a common elective procedure for cholecystic diseases, including cholecystitis and cholelithiasis. Common bile duct injury is a major complication in both open and laparoscopic cholecystectomy (LC). The number of cholecystectomies performed has increased due to popularization and application of the laparoscopic technique, which has led to an increase in the number of bile duct injuries.
Case Summary:
A 65-year-old man presented to the General Surgery Department with a complaint of repeated right upper quadrant pain for 2 years that had worsened over the previous day. The patient had a history of gallstones and hypertension. A LC was performed; it was found that a biliary stricture of 53 h duration was caused by a ligature injury of the common bile duct during the LC. Another laparoscopic exploration was performed, and the stricture was released.
Conclusion:
LC is a common surgical procedure, but if a complication occurs, it is important for the surgeon to consider another exploratory surgery.
