Iatrogenic Duodenal Injury in Laparoscopic Cholecystectomy: A Fatal Complication
Journal Title: New Indian Journal of Surgery - Year 2018, Vol 9, Issue 2
Abstract
Introduction: Duodenal injury during laparoscopic cholecystectomy is rare but associated with significant morbidity and mortality. Methods: This study is a retrospective review of prospectively collected database of patients with postcholecy-stectomy complications. The study analysed 5 cases of duodenal injury secondary to laparoscopic cholecystectomy and managed by surgical team of our unit. Results: Mean age of these 5 patients was 54.6 (45-65yrs) out of which 3 were males and 2 females. One case was dealt by immediate intraoperative duodenal repair on recognition of the injury. In other 4 cases, mean interval to re-surgery was 4.8 days. These 4 patients presented with septicaemia with peritonitis. Duodenorapphy with omental patch was done in 3 cases. Tube duodenostomy with feeding jejunostomy was done in one case. 4 out of 5 cases died due persistent sepsis and multiorgan failure. One patient survived with uneventful outcome. Conclusion: Though rare, duodenal injury secondary to laparoscopic cholecystectomy is potentially a fatal complication. Early diagnosis and prompt management may minimize morbidity and mortality.
Authors and Affiliations
Mohit Sharma
Keywords
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- EP ID EP545272
- DOI 10.21088/nijs.0976.4747.9218.9
- Views 94
- Downloads 0
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