Have technical advances and increased surgical experience in laparoscopic cholecystectomy decreased bile duct leaks and injuries? The aim of this study was to review our ERCP experience to define the frequency and type of complications of laparoscopic cholecystectomy over the last 4 years. Methods: Between 1/94-11/97 64 patients (M:F 25:38; age range 19-91) were referred for post-laparoscopic cholecystectomy evaluation. Patients with post-laparoscopic cholecystectomy pain being evaluated for sphincter of Oddi dysfunction and simple common bile duct (CBD) stones were excluded. Results: The major indication for ERCP was abdominal pain with abnormal liver chemistries in 15, suspected or proven bile leak in 20, suspected common bile duct stone per intraoperative cholangiogram or ultrasound in 2, jaundice in 22, biliary ascites in 3, and sepsis in 2. Year 1994 1995 1996 1997 Leaks 4 7 10 11 Strictures 4 1 5 7 Leaks & Stones 2 4 4 2 Transaction/cutoff 0 1 2 0 Total/yr 10 13 21 23* Total ERCPs/yr 1183 1301 1537 1625* Injuries/100 ERCPs 0.84 0.99 1.36 1.41 *annualized Summary: Our data suggest that complication rates following laparoscopic cholecystectomy are increasing. However, this may reflect referral bias. Conclusions: The number of patients referred for post-laparoscopic cholecystectomy complications continues to increase. Long-term follow-up of all patients undergoing laparoscopic cholecystectomy is necessary to determine the final procedure complication rate (i.e. low-grade strictures with delayed clinical presentation).
|Original language||English (US)|
|State||Published - Dec 1 1998|
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging