Abstract
Intraoperative biliary injury is a severe complication of cholecystectomy which causes bile leakage or biliary stricture although this injury seldom occurs. This paper deals with clinical characteristics and therapies of eight cases of biliary injury in cholecystectomy, including two cases of amputation, and six cases of laceration. The diagnosis of injury was made in seven cases during surgery, and one case on the 7th postoperative day. Cholecystitis was accompanied in six and aberrant bile duct existed in four cases. For these injuries, operative repairs were performed, including primary suture in seven cases, sacrificing the aberrant bile duct in one case. Biliary tube, such as RTBD tube, T-tube, or C-tube was indwelt for prevention of narrowing repaired bile duct, although severe late biliary stricture was occurred in one case.
