الفهرس 
Anatomy of the biliary systemOnly 14 pages are availabe for public view
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Abstract
Cholecystectomy is the surgical removal of the gallbladder which is one of the most common operations performed by the National Health Service (NHS). More than 60,000 gallbladder removals are performed each year. Surgical options include the standard procedure, called laparoscopic cholecystectomy, and an older more invasive procedure, called open cholecystectomy. Indications for cholecystectomy include inflammation of the gall bladder (cholecystitis), biliary colic, risk factors for gall bladder cancer, and pancreatitis caused by gall stones. (Goldman, 2011)
The most serious complication of cholecystectomy is damage to the common bile duct. This occurs in about 0.25% of cases. Damage to the duct that causes Leakage typically manifests as fever, jaundice, and abdominal pain several days following cholecystectomy. (Goldman and Lee, 2011)
This work aimed to evaluate the Diagnosis and Management strategies of Bile duct injuries following cholecystectomy.
This study included patients presented with postcholecystectomy bile duct injuries admitted to the department of surgery and the data will be revised retrospectively from patient’s records during the period between January 2005 and January 2015 in the National Liver institute, University of Menoufia.
They were 64 females (64%) and 36 males (36%) with mean age of 45.4 ±11.5 days and ranged from 19 years to 67 years. All patients referred from other hospitals. Jaundice was the main symptom that observed in 70 patients (70%) followed by evident of sepsis in 47 patients, bile leak in 46 patients (46%), abdominal collection in 34 patients (34%) and pain in 34 patients (34%). The mean time of presentation was 5.1 ± 3.7 days and ranged from one day to 20 days. Sixty one patients (61%) underwent open cholecystectomy and 39 patients underwent laparoscopic cholecystectomy.