Managing Cystic Duct Avulsion During Gallbladder Surgery
Author Information
Author(s): Karimian Faramarz, Aminian Ali, Mirsharifi Rasoul, Mehrkhani Farhad
Primary Institution: Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
Hypothesis
What are the effective surgical options for managing avulsed cystic duct during laparoscopic cholecystectomy?
Conclusion
Avulsed cystic duct during laparoscopic cholecystectomy is rare, and most treatment methods lead to successful outcomes with low morbidity.
Supporting Evidence
- The incidence of avulsed cystic duct was found to be 1.15% among the laparoscopic cholecystectomies performed.
- All patients had gallbladder inflammation, with varying degrees of cholecystitis.
- Different management techniques included clipping, suturing, conversion to open surgery, and drainage.
Takeaway
Sometimes during gallbladder surgery, a part called the cystic duct can get pulled off. Doctors have different ways to fix it, and most of the time, the patients do well.
Methodology
Patients with gallstone-related issues scheduled for laparoscopic cholecystectomy were prospectively enrolled over a 5-year period.
Limitations
The study is limited by its small sample size and the lack of intra-operative cholangiography.
Participant Demographics
10 female and 2 male patients with a mean age of 48 years.
Digital Object Identifier (DOI)
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