XXXX following laparoscopic cholecystectomy.

@entity1 @entity1157 @entity130 @entity1085
INTRODUCTION: @entity1157 occur rarely but are among the most dreadful complications following cholecystectomies. METHODS: Prospective registration of bile duct @entity130 occurring in the period 1992-2013 at a tertiary referral hospital. RESULTS: In total, 67 @entity1 (47 @entity1 and 20 @entity1 ) with a median age of 55 (range 14-86) years had a leak or a lesion of the bile ducts during the study period. Total incidence of postoperative @entity1157 or bile duct @entity130 was 0.9% and for bile duct @entity130 separately, 0.4%. Median delay from @entity130 was 5   days (range 0-68   days). In 12 @entity1 (18%), the injury was discovered intraoperatively. @entity1157 was the major symptom in 59%, and 52% had a leak from the cystic duct or from assumed aberrant ducts in the liver bed of the @entity1085 . Following the Clavien-Dindo classification, 39% and 45% were classified as IIIa and IIIb, respectively, 10% as IV, and 6% as V. In all, 31 @entity1 had @entity130 to the common bile duct or hepatic ducts, and in these @entity1 , 71% were treated with a hepaticojejunostomy. Of @entity1 treated with a hepaticojejunostomy, 56% had an uncomplicated event, whereas 14% later on developed a stricture. Out of 36 @entity1 with @entity130 to the cystic duct/aberrant ducts, 30 could be treated with stents or sphincterotomies and percutaneous drainage. CONCLUSION: Half of @entity130 following cholecystectomies are related to the cystic duct, and most of these can be treated with endoscopic or percutaneous procedures. A considerable number of @entity1 following hepaticojejunostomy will later on develop a stricture.
