Özet:

INTRODUCTION: In this study, a retrospective analysis of medical records of patients operated on for bile duct injuries (BDI) after laparoscopic cholecystectomy (LC) were evaluated, and the results were reviewed with the recent literature.METHODS: Twelve patients with BDI occured during LC were treated. Nine of them were referred to our instuition for further treatment. The diagnosis of BDI that could not be diagnosed during LC was carried out with combination of biochemical analysis and preoperative radiological imaging.RESULTS: 8 patients were male, 4 patients were female, the mean age was 38.9 (range 23-79). Five patients had minor and seven patients had major ductal injuries. In four patients, biliary injuries were noted during LC, and the procedure was converted to laparotomy. The remaining patients were diagnosed after operation in our clinic with combination of radiological imaging and biochemical test. All patients were treated with the technique of Roux-en-Y hepaticojejunostomy. Nine patients had done well in long-term follow-up ( mean 40 months). Anastomotic leakage was occured in one patient. This patient was treated conservatively, Anastomotic stricture was developed in two patients. Biliary balloon dilatation was used for these patients. One of them was succesfully treated with percutaneous dilatation. The other patient was operated due to unsuccessful balloon dilatation. Hillar dissection + Roux-en-Y hepaticojejunostomy was performed.DISCUSSION AND CONCLUSION: In the preoperative period carefully preparation of the patients, radiological evaluation for detection of BDI level or type and early recıgnition are very important. Long-term results are succesful of biliary reconstruction with a Ruox-en-Y hepaticojejunostomy.

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