Table of Contents
ISRN Gastroenterology
Volume 2011, Article ID 868471, 4 pages
http://dx.doi.org/10.5402/2011/868471
Case Report

Two Case Reports of Biliary Tract Injuries during Laparoscopic Cholecystectomy

1General Surgery Division, “Cardinale Ascalesi” Hospital, Via egiziaca a Forcella, 80100 Naples, Italy
2Department of Anaesthesiology and Special Surgery, Second University of Naples, 80100 Naples, Italy
3Gastroenterology Unit San Giovanni di Dio Hospital, Frattamaggiore, 80100 Naples, Italy
4Surgery Unit, “Mauro Scarlato” Hospital, 84018 Scafati, Italy
5Unit of General Surgery, San Giovanni di Dio Hospital, Frattamaggiore, 80027 Naples, Italy
6San Giovanni di Dio Hospital, Frattamaggiore, 80027 Naples, Italy
7Unit of Surgery, Loreto Mare Hospital, 80100 Naples, Italy
8Unit of Day Hospital Oncology, San Giovanni di Dio Hospital, via Pirozzi, 53, Frattamaggiore, 80027 Naples, Italy

Received 13 December 2010; Accepted 12 January 2011

Academic Editors: T. Joh and J. M. Pajares

Copyright © 2011 O. Romano et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background and Study Aims. Biliary tract injuries (BTI) represent the most serious and potentially life-threatening complication of cholecystectomy occurring also during laparoscopic approaches. Patients and Methods. We describe and discuss two different cases of BTI occurring during laparoscopic cholecystectomy (LC). Results. Two patients developed BTI during LC and one evidenced the complication during the LC itself and was treated during the same LC in real time. The other patient evidenced BTI only after the primary intervention and was successfully reoperated in laparotomy after 10 days from the LC. Conclusions. The factors that predispose to the occurrence of BTI during cholecystectomy and the cautions to be used to prevent BTI are discussed.