DOI: https://doi.org/10.36347/sasjs.2026.v12i01.018

Pages: 107-112

Background: Gallstone disease is a common surgical condition worldwide, with laparoscopic cholecystectomy being the preferred treatment due to its advantages in recovery and reduced postoperative morbidity. The purpose of the study is to evaluate the timing of presentation and severity of complications following biliary tract surgery. Methods: This prospective study at the Department of Surgery, Dhaka Medical College Hospital (DMCH), and Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh, from January 2007 to February 2008 included 50 patients with postoperative biliary complications. Patients were evaluated with history, examination, and investigations (ultrasonography, liver function tests, ERCP, MRCP), managed conservatively or surgically as appropriate, and followed up to assess outcomes. Results: Among 50 patients with biliary tract surgery complications, mean age was 39.1 ± 9.1 years, mostly 31–40 years (40%), and 86% were male. Bile duct injury was most common (30%), followed by minor bile leak (20%) and post-cholecystectomy syndrome (12%). Most injuries occurred after laparoscopic cholecystectomy (80%), presented within the first month (70%), and were Bismuth Grade 3 (53.3%). Conclusion: Bile duct injury is the most common complication of biliary tract surgery, predominantly affecting middle-aged males after laparoscopic procedures, highlighting the need for early detection and vigilant postoperative management.