bile duct injury of laparoscopic cholecystectomy

aim : to assess the complications of bile duct injury in laparoscopic cholecystectomy in loghman medical center, tehran. background : the incidence of complications of laparoscopic cholecystectomy has increased dramatically since the introduction and widespread use of laparoscopic cholecystectomy.  patients and methods : from january 1998 to january 2002, a total of 155 laparoscopic cholecystectomies were performed at the loghman medical center. a retrospective analysis of complications including major bile duct injuries, cystic duct leakage, and bile duct strictures, was carried out. results : of 155 patients with cholelithiasis, conversion to open cholecystectomy was required in 20 patients (13%).  there were 3 (2.22 %) major bile duct injury in laparoscopic cholecystectomy that required reconstructive operations at later stage. conclusion : laparoscopic cholecystectomy is an operation associated with low morbidity and mortality rate, but bile duct injury is still a major problem. clear demonstration of anatomy is the cornerstone of safe, successful laparoscopic cholecystectomy.