Iatrogenic Bile Duct Injuries after Cholecystectomy, Is the Laparoscopic Approach a Good Idea?

Objective: The treatment of iatrogenic bile duct injuries is still a challenge for hepatobiliary and general surgeons. Roux-en-Y hepaticojejunostomy, one the most appropriate techniques circumferential lesions, either occurring less than 2 cm from bifurcation or in common hepatic duct, requires experience advanced laparoscopy surgery. This study aims to present results laparoscopic hepaticojejunostomy (LHJ) (IBDI). Methods: A retrospective analyzing medical records patients diagnosed with IBDI treated using LHJ at Hospital S&#227o José do Avaí (HSJA). Sex, age, previous cholecystectomy technique, signs symptoms, postoperative complications, length stay, injury classification, time elapsed diagnosis were analyzed. Magnetic resonance cholangiography (MRC), endoscopic retrograde cholangiopancreatography (ERCP) intraoperative cholangiography. Results: From March 2006 December 2018, six underwent LHJ. In five cases (83.33%), primary operation was (LC) patient (13.66%) open cholecystectomy. frequent clinical sign jaundice. mean surgical 153.2 minutes (range: 115 206 minutes), hospital stay 3 7 days (mean: 4.16 days). One had infection umbilical trocar incision presented stenosis hepaticojejunal anastomosis radioscopic pneumatic dilatation. Conclusion: total early (during surgery) late, may be safe effective option, similar conventional low complication rate all known advantages minimally invasive