DOI: 10.36347/sjams.2020.v08i07.029

Pages: 1794-1801

Background: Bile duct injury is severe and potentially life threatening complication of cholecystectomy. It ruins the patient physically, mentally, socially and financially. The incidence of bile duct injury is alarming in our country. Management of such patients needs to be explained. Aims: To identify the types of bile duct injury and their subsequent management plan in our perspective. Methods: The study was carried out at Department of Hepatobiliary and Pancreatic surgery, BSMMU, BIRDEM, DMCH & other specialized hospital in Dhaka, Bangladesh. Patient with bile duct injury that occurred in local hospitals following cholecystectomy and subsequent admission in the department of Hepatobilliary and pancreatic surgery; BSMMU, BIRDEM and DMCH, Dhaka, Bangladesh during the period January 2014 to July 2018. A total of 70 patients diagnosed as bile duct injury were included in the study. Bile duct injury that occurs during liver or pancreases surgery or accident was excluded. Data were collected using a predesigned data collection sheet and analyzed using computer software SPSS (Statistical Package for Social Sciences) version 22. Results: Young and female patients suffer more 44(62.9%) than male. Occurrence was common during laparoscopic cholecystectomy 42(60%). Most of bile duct injury occur when cholecystectomy done on acute condition of gall bladder 59(84.3%). Most of bile duct injury patient came to specialized center after several week of injury with billiary stricture 54 (77.14%) with jaundice, some patients presented with abdominal pain 48(68.6%), abdominal distension 18(25.7), biliary peritonitis 16(22.9) and biliary fistula 14(20%). Patients with bile duct injury were evaluated by USG, liver function test, ERCP and MRCP. Maximum BDI patients were Bismath Type II 32(45.7%) and Bismath Type III 18(25.7%). Most of these patients were managed by Roux-eny hepaticojejunostomy 41(59%) alone, some patients were managed by ERCP stenting 4(5.7%) but when patients.........