Volume : VI, Issue : VII, July - 2017

A study on post operative bile leak after cholecystectomy in JLNMC, Bhagalpur

Dr. Apurva Kumar Rajan, Dr. Sohail Anjum

Abstract :

 Aim and Objectives: Bile leak is a common and serious complication of cholecystectomy. In this study we find the incidence, source and management of bile duct injuries. Materials & Methods: In this study, 100 surgically operated cholecystectomy cases were taken with age group between 15–60 years. Study was done in surgery department of JLNMCH, Bhagalpur, Bihar from Feuary 2016 to January 2017.  All cases were registered fulfilled the inclusion criteria. Results: Out of 100, 65 cases were undergone open cholecystectomy and 35 cases were operated by laparoscopic cholecystectomy. Females were more than females in the study. Average age group was 30 years. Post operative bile leak was seen in 08 cases. 05 cases of bile leakage were seen in open cholecystectomy, 03 cases after laparoscopic cholecystectomy. Cause of bile leakage were from liver bed in 04 cases, CBD injury 02 cases, cystic duct injury in 01 case and from injury to accessory bile ducts in 01 case. They were managed conservatively by drain, laparotomy with ligation of cystic duct and accessory duct and endoscopic stenting. No mortality was observed. Post operative hospital stay was 14 days on average. Conclusions: Bile leakage was more common in open cholecystectomy than laparoscopic cholecystectomy. Conservative treatment was employed in majority of leaks. Further strategies need to be developed for dealing with bile duct injuries as early diagnosis and help in timely management.

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. Apurva kumar Rajan, Dr. Sohail Anjum, A study on post operative bile leak after cholecystectomy in JLNMC, Bhagalpur, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : VOLUME-6 | ISSUE-7 | JULY-2017

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