BILIARY TRACT INJURY

INCIDENCE IN MINI-CHOLECYSTECTOMY

Abstract

Objective:-To observe the rate of biliary tract injury and to prove the
effectiveness of mini-cholecystectomy in developing countries. Setting:- Department of Surgery, Nishtar Hospital,
Multan. Design:- Descriptive study. Duration:- One year, starting from October 2002 to October 2003. Material and
methods: Total 50 patients were treated with mini-cholecystectomy. Follow up for complication was done for the period
of 6 months after procedure. Results: In 50 patients there was no bile duct injury. Biliary peritonitis and strictures were
seen in 2(4%) patients. Patients developed biliary leakage in which drain was not put at the time of operation and only
drain was put and recovered. Conclusion: Mini-cholecystectomy is relatively economical method for the treatment of
gall stone disease which is associated with less patients discomfort and less incidence of postoperative complications,
short hospital stay, good cosmetic results, early return to work, so it should always be preferred to conventional
cholecystectomy.