Complications of gall bladder removal / Complications of cholecystectomy

Complications of gall bladder removal / Complications of cholecystectomy

cholecystectomy is a very safe surgical procedure compared to the other operations and it a mortality rate less than 1%. Common cholecystectomy complications include wound haematoma, sepsis and collection of bile or pus in the sub hepatic space. In such collections it may be necessary to drain the collecting fluid by a percutaneous drainage.
More serious complications of cholecystectomy include bile leakage and main bile duct strictures.
Bile leaks
Bile leaks may occur from the open surface of the liver. These leaks very quickly dry off. But more profuse leakage can occur from slipped cystic duct ligature or an injury to the right or common hepatic duct. Occasionally substantial Bile leaks can occur following T-tube removal.

Treatments for bile leaks.
Re-operation or percutaneous drainage.

Bile duct narrowing / Bile duct stricture
this follows a accidental ligature or transection of the duct that has been inexpertly repaired. Patient with this condition may develop post-operative jaundice. This condition can progress to secondary biliary cirrhosis and portal hypertension.


Treatments for Bile duct narrowing / Bile duct stricture

Repair using a roux loop by an expert surgeon.