PP 70. The Retrospective Analyse of a Single Center Experience for Bile Duct Injuries

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A Coker, I. Mehmet Demirci, E. Ekmekcigil, A Uguz, O. Vedat Unalp, M. Sozbilen

19:10 - 19:16h at Lanchid Room

Categories: Poster Session , Hepatobiliary and Pancreatic Surgery

Session: Poster (P5) - Hepatobiliary & Pancreatic Surgery

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Background
The surgeons have performed an increasing number of laparoscopic cholecystectomies with smaller incisions,less pain and shorter hospitalization but significantly accompanying the risk for bile duct injuries.The aim of the research is,to analyse the factors that effect on this serious complication and to emphasize the treatment options

Material and Methods
From May 2007 and December 2013; the datas of 82 patients are analysed retrospectively in Ege University, Department of General Surgery.The mean value for the age is 49.7 years and the distribution of female/male is 56/26. The outputs are verified according to the classification system of Strasberg and Bismuth-Corlette. Timing of repair is also classified to determine the treatment options with either surgery or interventional procedures.

Result
The analyses of 82 patients according to Strasberg-Bismuth Cclassification were; Type A 28 patients, Type D 16 patients,Type E2 12 patients,Type E3 11 patients,Type E4 14 patients and Type E1 1 patient. Three groups are determined according to the required number of operations. 43 patients had one surgical procedure after the injury with 1.2% mortality rate. For the second group; 15 patients had multiple surgical procedures and the mortality rate increased to 10.9%. For the third group,patients treated with the interventional procedures (e.g. PTK,PD or sphincterotomy with ERCP) without mortality.

Conclusion
The results of our data suggest that early recognition of an laparoscopic bile duct injury and immediate repair at a tertiary center is the best approach for the treatment.