Muhammad Saddique, Akram Rajput, Masroor Ahmed, Pervez Iqbal.
Bile duct injury: management and outcome.
J Surg Pak Jan ;17(4):156-9.

Objective: To describe the management and outcome of bile duct injury. Study design: Descriptive case series. Place & Duration of study: Surgical Unit II Civil Hospital, Dow University of Health Sciences Karachi, from July 2008 to June 2011. Methodology: Patients who sustained bile duct injury were included in this study. Mode of admission, type of injury, procedures for reconstruction and outcome were recorded. Results: There were sixteen patients with bile duct injury. Twelve (75%) patients were females and four (25%) males. Mean age was 40 year. In six (37.5%) patients injury occurred in our unit during surgery while four (25%) patients were referred from other tertiary care hospitals. Three (18.75%) patients were sent from district hospitals, one (6.25%) patient from taluka hospital and two (12.5%) from other private hospitals. Nine (56.25%) patients sustained injury during open cholecystectomy and in five (31.25%) during laparoscopic cholecystectomy. Ten patients (62.5%) underwent end to end repair over T-Tube. Two patients (12.5%) underwent hepaticojejunostomy. Morbidity noted in 37.5% (n=6) and mortality was 18.75% (n=3). Conclusions: Bile duct injury occurred more with open cholecystectomy and end to end repair over T tube was most frequently used procedure. Mortality remained significant.

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