Background: The purpose of this study is to present our experience of diagnosis, clinical course, treatment and outcome in iatrogenic and traumatic bile duct injury.
Methods: Sixteen patients, who were treated due to iatrogenic and traumatic bile duct injury between June 2009 and October 2014 at İnönü Universty, were analysed retrospectively.
Result: Of the sixteen patients with bile duct injury, 4 (%25) were males and 12 (%75) were females. 3 (%18.75) of the bile duct injuries occured due to trauma and 13(%81.25) occurred due to laparoscopic cholecystectomy. 2 (%12.5) patients were taken to emergency surgery due to trauma in our center. 14 (%87.5) patients were operated previously in other clinics and referred to our center due to complications. In the treatment of bile duct injury, 1 (%6.25) patient underwent duct to duct anastomosis while the others 15 (%93.75) were treated with Roux-en-Y hepaticojejunostomy. The average length of stay of patients in the hospital was18.9 days, and the average follow-up time was 25.6 months.
Conclusion: Bile duct injury may occur with iatrogenic or traumatic causes and can cause severe morbidity and mortality. Laparoscopic cholecystectomy is still the most common cause of bile duct injury.Regardless of their causes, bile duct injurys are serious conditions that require experienced treatment in terms of management. The time between onset of bile duct injury and surgical procedure is insignificant and treatment may give successful results in centers with experienced surgeons in hepatobiliary surgery.
Key words: Bile Duct Injury; Iatrogenic; Cholecystectomy; Trauma; Hepaticojejunostomy.
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