World Journal of Laparoscopic Surgery

Register      Login

VOLUME 12 , ISSUE 2 ( May-August, 2019 ) > List of Articles

Original Article

Nonbiliary Complications of Laparoscopic Cholecystectomy: A Single-center Experience

Rachhpal Singh

Keywords : Complications, Laparoscopic cholecystectomy, Nonbiliary injuries

Citation Information : Singh R. Nonbiliary Complications of Laparoscopic Cholecystectomy: A Single-center Experience. World J Lap Surg 2019; 12 (2):49-52.

DOI: 10.5005/jp-journals-10033-1367

License: CC BY-NC 4.0

Published Online: 01-08-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: Bile duct injury is an important complication of laparoscopic cholecystectomy. Nonbiliary injuries after laparoscopic cholecystectomy can be fatal and source of considerable morbidity. In this study we intend to highlight the importance of nonbiliary complications sustained during laparoscopic cholecystectomy and their outcome. Materials and methods: The study is analysis of patients managed in our unit with post-laparoscopic cholecystectomy nonbiliary complications from June 2010 to December 2018. Inclusion criteria—nonbiliary complications. Exclusion criteria—cases of bile duct injury, cases of surgical site infection, trocar-site hernia. Results: A total of nine patients with nonbiliary complications were managed. Mean age of the patients was 51.1 years (range 38–65). There were five males and four females. Nonbiliary injuries were categorized into access-related and procedure-related complications. Three cases (two colonics, one inferior vena cava) were access related. Six cases (five duodenal, one ileal) were procedure related. Conclusion: Nonbiliary injuries are of significant severity. Adequate attention in creating pneumoperitoneum and meticulous dissection helps in preventing complication. Timely detection and early therapeutic intervention can help reduce morbidity and mortality.


PDF Share
  1. Rajdeep S, Robin SK, Rajeev SK, et al. Non-biliary mishaps during laparoscopic cholecystectomy. Indian J Gastroenterol 2004;23(2): 47–49.
  2. Fletcher DR, Hobb MS, Tan P, et al. Complications of cholecystectomy: risks of the laparoscopic approach and protective effects of operative cholangiography: a population-based study. Ann Surg 1999;229(4):449–457. DOI: 10.1097/00000658-199904000- 00001.
  3. Calvete J, Sabater L, Camps B, et al. Bile duct injury during laparoscopic cholecystectomy: myth or reality of the learning curve? Surg Endosc 2000;14(7):609–611. DOI: 10.1007/s004640000103.
  4. Waage A, Nilsson M. Iatrogenic bile duct injury: a population-based study of 152 776 cholecystectomies in the Swedish Inpatient Registry. Arch Surg 2006;141(12):1207–1213. DOI: 10.1001/archsurg.141. 12.1207.
  5. Deziel DJ. Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases. Am J Surg 1993;165(1):9–14. DOI: 10.1016/S0002-9610(05)80397-6.
  6. Huang X, Feng Y, Huang Z. Complications of laparoscopic cholecystectomy in China: an analysis of 39,238 cases. Chin Med J 1997;110(9):704–706.
  7. Wherry DC, Marohn MR, Malanoski MP, et al. An external audit of laparoscopic cholecystectomy in the steady state performed in medical treatment facilities of the department of defense. Ann Surg 1996;224(2):145–154. DOI: 10.1097/00000658-199608000- 00006.
  8. Mases A, Montes A, Ramos R, et al. Injury to the abdominal aorta during laparoscopic cholecystectomy: an unusual presentation. Anesth Analog 2000;91(3):561–562. DOI: 10.1213/00000539-200009000-00011.
  9. Voitk A, Rizoli S. Blunt hasson trocar injury: long intra-abdominal trocar and lean patient--a dangerous combination. J Laparoendosc Adv Surg Tech A 2000;11(4):259–262. DOI: 10.1089/109264201750539817.
  10. Roviaro GC, Varoli F, Saguatti L, et al. Major vascular injuries in laparoscopic surgery. Surg Endosc 2002;12(8):1192–1196. DOI: 10.1007/s00464-001-8238-z.
  11. Chandler JG, Corson SL, Way LW. Three spectra of laparoscopic entry access injuries. J Am Coll Surg 2001;192(4):478–490. DOI: 10.1016/S1072-7515(01)00820-1.
  12. Olsen DO. Laparoscopic cholecystectomy. Am J Surg 1991;16(3): 339–344. DOI: 10.1016/0002-9610(91)90592-2.
  13. Hashizume M, Sugimachi K. Needle and trocar injury during laparoscopic surgery in Japan. Surg Endosc 1997;11(12):1198–1201. DOI: 10.1007/s004649900568.
  14. Champault G, Cazacu F, Taffinder N. Serious trocar accidents in laparoscopic surgery: a French survey of 103,852 operations. Surg Endosc 1996;6(5):367–370.
  15. Merlin TL, Hiller JE, Maddern GJ, et al. Systematic review of the safety and effectiveness of methods used to establish pneumoperitoneum in laparoscopic surgery. Br J Surg 2003;90(6):668–679. DOI: 10.1002/bjs.4203.
  16. Bonjer HJ, Hazebrek EJ, Kazemier G, et al. Open versus closed establishment of pneumoperitoneum in laparoscopic surgery. Br J Surg 1997;84(5):599–602. DOI: 10.1002/bjs. 1800840506.
  17. Catarci M, Carlini M, Gentileschi P, et al. Major and minor injuries during the creation of pneumoperitoneum: a multicenter study on 12,919 cases. Surg Endosc 2001;15(6):566–569. DOI: 10.1007/s004640000381.
  18. Testini M, Piccini G, Lissidini G, et al. Management of descending duodenal injuries secondary to laparoscopic cholecystectomy. Dig Surg 2008;25(1):12–15. DOI: 10.1159/000114196.
  19. Croce E, Golia M, Russo R, et al. Duodenal perforations after laparoscopic cholecystectomy. Surg Endosc 1999;13(5):523–525. DOI: 10.1007/s004649901027.
  20. Berry SM, Ose KJ, Bell RH, et al. Thermal injury of the posterior duodenum during laparoscopic cholecystectomy. Surg Endosc 1994;8(3):197–220. DOI: 10.1007/BF00591829.
  21. Machado N. Duodenal injury post laparoscopic cholecystectomy: incidence, mechanism, management outcome. World J Gastrointest Surg 2016;8(4):335–344. DOI: 10.4240/wjgs.v8. i4.335.
  22. El-Banna M, Abdel-Atty M, El-Meteini M, et al. Management of laparoscopic-related bowel injuries. Surg Endosc 2000;14(9):779–782. DOI: 10.1007/s004640000015.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.