Iatrogenic major bile duct injuries injury

ABSTRACT

Through out the last decade we used to receive at ibn Sina Hospital a steady rate of referrals of iatrogenic major bile duct injuries [IMBDIs] which had been inflicted mainly during open cholecystectomy[1]. This was the real motivation for designing this review to reflect on the situation in the international literature. The WHO in 1948 defined health as "a state of complete physical, mental and social well-being and not merely the absence of disease and infirmity". Towards the eve of the last century globalization had led the way towards best quality in all professions with special reference to quality of life[3, 4]. Infection and bleeding are the recognized complications of surgery. However, IMBDI remains the most disastrous complication that leads to major morbidities and sometimes mortality. Bile duct injury was estimated as 0.1-0.3% and 0.4- 0.6% in open and laparoscopic cholecystectomy respectively" 6. 7. 8. 9, This rate may reach 1.4%10.11 with mortality as high as II% 12. The best management ought to be based on the best evidence, personal expertise and available facilities. Hence, we started collecting the relevant data for this review