Currently, a wide spectrum of multidisciplinary interventions with different degrees of invasiveness is indicated for BDI management. Subsequently, the choice and timing of the appropriate reconstructive strategy have a critical role in long-term prognosis. Providing a specific diagnosis and a precise description of the BDI will expedite the decision-making process and increase the chance of treatment success. However, some BDIs may be discovered later during the postoperative period, and this may translate to delayed or inappropriate treatments. Most BDIs are recognized either during the procedure or in the immediate postoperative period. BDIs have an estimated incidence of 0.4–1.5%, but considering the number of cholecystectomies performed worldwide, mostly by laparoscopy, surgeons must be prepared to manage this surgical challenge. World Journal of Emergency Surgery volume 16, Article number: 30 ( 2021)īile duct injury (BDI) is a dangerous complication of cholecystectomy, with significant postoperative sequelae for the patient in terms of morbidity, mortality, and long-term quality of life. 2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy
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