Laparoscopic cholecystectomy is one of the most common surgery types globally, with the potential for iatrogenic biliary tract injuries (IBI). IBI is a serious and potentially life-threatening complication after cholecystectomy, with incidence up to 0.5% for conventional cholecystectomy up to 1.2% for laparoscopic cholecystectomy, which significantly affects the quality of life, and overall survival, and causes frequent medical and legal obligations[1]. Imaging is an important instrument in the detection of these complications and a prerequisite for further management decisions. The most common modalities include endoscopic...

This is a retrospective cross-sectional study with 44 patients who underwent ultrasonography (US), computed tomography (CT), magnetic resonance cholangiopancreatography (MRCP) with and without hepatospecific contrast agent, endoscopic retrograde cholangiopancreatography (ERCP) and/or percutaneous transhepatic cholangiography (PTHC) as well as fistulography due to complications following iatrogenic bile duct damage due to laparoscopic cholecystectomy. All types of biliary tract injuries were evaluated by the certified radiologist, and IBI were classified according to Strasberg et al. classification, and results were compared with the surgical Strasberg et al. classification. Strasberg...

The study included 44 patients with IBI after laparoscopic cholecystectomy, of whom 70.5% (n=31) were female and 29.5% (n=13) were male, aged 27 to 85 years, with a mean age of 62 years. All patients in the study had at least one imaging study, of which 28 patients underwent the abdominal US, 27 patients had abdominal CT, 27 patients underwent ERCP, 32 patients had MRCP, and 16 patients had PTHC. Of the 33 patients who underwent surgical classification of Strasberg et al in 28% (n=9)...

The increasing incidence of hepatobiliary surgery has also led to an increase in biliary tract injuries and other complications such as biliary leakage. It has been reported that the incidence of biliary injuries after laparoscopic cholecystectomy ranges from 0.2% to 7%, compared to 0.2-0.4% after conventional cholecystectomy [2]. Injuries to the bile tract may result from incorrect bile duct cutting, which can result in leakage, accidentally misplaced clip, and also strictures can be the result of fibrosis or thermal damage [3]. Postoperative bile duct injuries...

N. M. Popova: Owner: Main author I. Miklaseviča: Author: Author S. Lapsa: Author: Author A. Ozolins: Author: Author A. Buss: Author: Author M. Radzina: Author: Author

[1] Lau, Wan Yee, Eric C. H. Lai, and Stephanie H. Y. Lau. 2010. “Management of Bile Duct Injury after Laparoscopic Cholecystectomy: A Review.” ANZ Journal of Surgery 80 (1–2): 75–81. https://doi.org/10.1111/j.1445-2197.2009.05205.x. [2]Mungai, Francesco, Valentina Berti, and Stefano Colagrande. 2013. “Bile Leak after Elective Laparoscopic Cholecystectomy: Role of MR Imaging.” Journal of Radiology Case Reports 7 (1): 25–32. https://doi.org/10.3941/jrcr.v7i1.1261. [3] Khalid, Tahir R., V. Javier Casillas, Berta M. Montalvo, Raul Centeno, and Joe U. Levi. 2001. “Using MR Cholangiopancreatography to Evaluate Iatrogenic Bile Duct Injury.”...