October 10, 2025

Etiology of Bile Duct Injuries During Laparoscopic Cholecystectomy

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Discussion

Retrospective cohort study identifies trends and risk factors for bile duct injury in patients undergoing laparoscopic cholecystectomy.

Bile duct injury occurred in 31.6% of patients from 1999–2004, decreasing to 19.1% from 2019–2024.
Acute cholecystitis was a leading risk factor, present in 47.4% of cases in the first group and 56.2% in the second.
Surgeons' experience significantly impacted bile duct injury rates, with more procedures correlating with fewer injuries.
Routine use of intraoperative cholangiography is essential for preventing complications during laparoscopic cholecystectomy.

Banerji et al. (2025) studied this question.

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