Detailed Abstract
[BP Oral Presentation 3]
[BP OP 3-3] Bile Duct Injuries (BDI) Following Laparoscopic Cholecysteectomy Management in Cipto Mangunkusumo Hospital as Tertiary Hospital In Indonesia
Arnetta NL LALISANG, Toar JM LALISANG*, Perwira WIDIANTO, WIfanto S JEO, Yarman MAZNI, Febiansyah IBRAHIM
Of surgery, Cipto Mangunkusumo Hospital, Indonesia
Introduction : Laparoscopic cholecystectomy technique has changed the way surgeons treat cholelithiasis. The Global incidence of BDI has remained constant around 0.5%. BDI often encountered during laparoscopy cholecystectomy. Early diagnosis and appropriate management played an important role in managing BDI injuries
Methods : We aim to retrospectively review the management of BDI cases after laparoscopic cholecystectomy in CMH between 2015-2019
Results : We found 16 cases in this study with 10 females and 6 males. All subjects were a referral from primary or secondary health-care hospital The median age was 47 (25-58). Seven cases sustained BDI from laparoscopic procedure four were classified as Strassberg E3, one as Strasberg type A, one as Strasberg D, and 9 cases were BDI from the open procedure. All cases from laparoscopy procedure experience biloma. Hepaticojejunostomy Roux-en-Y was performed in all cases. One relaparotomy was performed due to bile anastomosis leakage.
Conclusions : Proper demonstration of the anatomy may help to reduce BDI injuries. Early diagnosis and appropriate management played an important role in managing BDI injuries
Methods : We aim to retrospectively review the management of BDI cases after laparoscopic cholecystectomy in CMH between 2015-2019
Results : We found 16 cases in this study with 10 females and 6 males. All subjects were a referral from primary or secondary health-care hospital The median age was 47 (25-58). Seven cases sustained BDI from laparoscopic procedure four were classified as Strassberg E3, one as Strasberg type A, one as Strasberg D, and 9 cases were BDI from the open procedure. All cases from laparoscopy procedure experience biloma. Hepaticojejunostomy Roux-en-Y was performed in all cases. One relaparotomy was performed due to bile anastomosis leakage.
Conclusions : Proper demonstration of the anatomy may help to reduce BDI injuries. Early diagnosis and appropriate management played an important role in managing BDI injuries
SESSION
BP Oral Presentation 3
Room B 7/28/2020 8:25 AM - 8:32 AM