Application of new laparoscopic biliary injury classification

ABSTRACT

The development of laparoscopic cholecystectomy is considered the most important event in general surgery in the last 30 years. Bile duct injury is the Achilles heel and the most common serious complication of laparoscopic cholecystectomy. A leading objective in laparoscopic hepatobiliary surgery is to reduce the incidence of these morbid and costly injuries to an absolute minimum as possible. Avoidance of misidentification of ducts is by adhering to the principle of conclusive identification that the cystic duct and artery are the only structures in the porta hepatis that need to be divided and clipped. Focus on aberrant anatomy and a new laparoscopic bile ducts injury classification for the differences and applicability discussed, also avoidance of duct injuries. The aim of the Work A message from this work is not how to treat laparoscopic biliary injuries but how to prevent them to allow the laparoscopic surgery to maintain its true position as a major advance in the treatment of cholelithiasis