High XXXX following laparoscopic cholecystectomy.

@entity1 @entity70612 @entity295 @entity1157 @entity1578 @entity1317
OBJECTIVE: Laparoscopic cholecystectomy is now widely applied in hospitals throughout the Kingdom of Saudi Arabia (KSA). Iatrogenic @entity1157 occurs rarely. It is a serious complication with long term consequences on @entity1 . This paper describes our experience in dealing with this complication and the eventual outcome of the @entity1 . METHODS: Between July 1993 and December 1999, 17 @entity1 with high @entity1157 were referred to the Hepatobiliary Unit of King Khalid University Hospital and King Fahad National Guard Hospital, Riyadh, KSA. Their charts were reviewed retrospectively. Once a @entity1 was referred, a clinical evaluation with particular attention to the presence of @entity295 was made. The anatomy of biliary duct was then delineated. Corrective surgery was attempted through hepaticojejunostomy. Follow up was at least 3 years in all cases. RESULTS: There were 15 females and 2 males with an average age of 37 years. Eleven @entity1 presented with @entity1157 and 6 had a stricture following an attempted repair. Five @entity1 had Bismuth type E2 injury and the rest were higher (E3, @entity70612 ). Re-stricture occurred in 7 @entity1 , 3 of them had concomitant @entity1317 . All responded to radiological manipulati CONCLUSION: High @entity1157 following laparoscopic cholecystectomy is a devastating complication, with a high rate of recurrence after repair. Care of such @entity1 should be carried out in a specialized unit with a strict follow up to try to avoid end stage @entity1578 requiring liver transplantation.
