The Management of Gallbladder and Extrahepatic Biliary Duct Injuries

INTRODUCTION: Injury of the biliary system is rare. They can be divided into traumatic biliary injuries and iatrogenic biliary injuries. In this study, extrahepatic bile duct and gall bladder injuries and treatment methods and complications were reviewed in the general surgery clinic.
METHODS: The files of the patients who were operated in the general surgery service of our hospital for extra-hepatic bile ducts and gallbladder trauma were examined in a retrospective cohort study. In addition to iatrogenic and traumatic injuries of the gallbladder, traumatic and iatrogenic injuries due to ERCP, laparoscopic interventions, Bismuth Strasberg classifications, repairs and complications of these injuries were examined.
RESULTS: A total of 13 non-hepatic biliary injuries were detected, four of which were in the gallbladder. 75% (3/4) of gallbladder injuries arose from abdominal trauma. The leading cause of common hepatic canal and choledochal injuries was iatrogenic. These injuries may occur during ERCP or cholecystectomy. In iatrogenic biliary tract injuries, 80% primary repair and drain placement were performed without a major complication.
DISCUSSION AND CONCLUSION: The vast majority of gallbladder injuries are due to abdominal trauma. They are most commonly seen in piercing and firearm injuries. The most common cause of non-liver biliary tract injuries is iatrogenic injuries. Traumatic injuries of the common hepatic canal and the choledochus are rare and rarely represent in isolation.