Diagnosis and treatment of binary injury caused by laparoscopic cholecystectomy

Objective: To summarize experience of the diagnosis and treatment of binary injury caused bylaparoscopic cholecystectomy. Methods: Twenty-three patients with binary injury of various types caused bylaparoscopic cholecystectomy were diagnosed and treated in our department in 6 years. The biliary injury wasdivided into 5 types from A to E. According to these types, the patients were treated with different methods.Results: Type A (3 cases) presenting binary leakage were recognized with Bus or CT scanning and treatedwith local drainage. Type B (1 case ) presenting dilated right anterior hepatlc duct was observed. Types C (3cases ) and D (3 cases ) presenting generalized peritonitis were detected with ERCP or fistulagram andmanaged by ligation of aberrant hepatic duct or T tube drainage or endoscopic nasobiliary drainage. Type E(14 case ) presenting jaundice, cholangitis or binary peritonitis were diagnosed with ERCP or PTC and treatedby enteric anastomosis. Conclusion: Patients with different types of bile duct injury present different clinicalcharacteristics and its diagnosis, treatment and outcome are also different.