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June 20, 2026Endoscopic Surgery

Iatrogenic bile duct injuries in laparoscopic cholecystectomy: a contemporary review of epidemiology, diagnosis, and management with a clinical case of Roux-en-Y hepaticojejunostomy reconstruction

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Authors

HKHiwa M.H. KarkhaniЭГЭ. А. ГаллямовAVA. S. Vorotyntsev

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Overview

Randomized trial reviews iatrogenic bile duct injuries in laparoscopic cholecystectomy, suggesting effective reconstructive techniques.

Key Points

  • This review aims to analyze the epidemiology, diagnosis, and management of iatrogenic bile duct injuries associated with laparoscopic cholecystectomy.
  • Review of randomized clinical trials (RCTs) from 2015 to 2025 published in peer-reviewed journals.
  • Data extraction from sources including PubMed and Cochrane Library.
  • Examination of diagnostic methods and surgical management strategies, including specific reconstructive techniques.
  • The risk of iatrogenic bile duct injuries during laparoscopic cholecystectomy is between 0.4% and 1.5%.
  • Implementing a multidisciplinary approach with early imaging enhances diagnosis and treatment outcomes.
  • Laparoscopic Roux-en-Y hepaticojejunostomy proved effective for restoring biliary function in cases of strictures, with no reported complications.

Cite This Study

Karkhani et al. (2026) studied this question.

synapsesocial.com/papers/6a3632d2db0793dc1a53959bhttps://doi.org/10.17116/endoskop20263203142
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1<p>Iatrogenic bile duct injury: impact and management challenges</p>2019 · 146 citations
  2. 2Diminished Survival in Patients with Bile Leak and Ductal Injury: Management Strategy and Outcomes2018 · 129 citations
  3. 3Routine <i>versus</i> selective intraoperative cholangiography during cholecystectomy: systematic review, meta-analysis and health economic model analysis of iatrogenic bile duct injury2020 · 52 citations
  4. 4Iatrogenic bile duct injuries after laparoscopic cholecystectomy: evaluation by MRCP before management2023 · 8 citations