Research in Medicine

Background: The incidence of complications of laparoscopic cholecystectomy has increased dramatically since the introduction and widespread use of laparoscopic cholecystectomy in 1990. Bile duct injuries are among the most important complications of this approach.

 Methods : From January 1998 to January 2002, a total of 155 laparoscopic cholecystectomy were performed at the Loghman Medical Center . A retrospective analysis of bile duct-related complications was carried out.

Results : There were 6(4.4%) major complications including major bile duct injury, cystic duct leak, bile duct strictures, and hemorrhage that required laparotomy at later stage.

Conclusion : Results revealed that laparoscopic cholecystectomy is an operation associated with low morbidity and mortality rate, but bile duct injury is still a major concern. We believe that clear demonstration of anatomy is the cornerstone of safe, successful laparoscopic cholecystectomy.