Published online Aug 26, 2020. doi: 10.12998/wjcc.v8.i16.3567
Peer-review started: April 13, 2020
First decision: April 24, 2020
Revised: July 4, 2020
Accepted: July 23, 2020
Article in press: July 23, 2020
Published online: August 26, 2020
Cholecystectomy is a common elective procedure for cholecystic diseases, including cholecystitis and cholelithiasis. Common bile duct injury is a major complication in both open and laparoscopic cholecystectomy (LC). The number of cholecystectomies performed has increased due to popularization and application of the laparoscopic technique, which has led to an increase in the number of bile duct injuries.
A 65-year-old man presented to the General Surgery Department with a complaint of repeated right upper quadrant pain for 2 years that had worsened over the previous day. The patient had a history of gallstones and hypertension. A LC was performed; it was found that a biliary stricture of 53 h duration was caused by a ligature injury of the common bile duct during the LC. Another laparoscopic exploration was performed, and the stricture was released.
LC is a common surgical procedure, but if a complication occurs, it is important for the surgeon to consider another exploratory surgery.
Core tip: Cholecystectomy is a common elective procedure for cholecystic disease, and common bile duct injury is a major complication. We report a case of a biliary stricture caused by a ligation injury of the common bile duct during a laparoscopic cholecystectomy. The patient had a biliary ligation for 53 h with an aggravated procedure 24 d after the ligation injury. The process of patient recovery is presented, which may be helpful to other surgeons who have encountered duct injuries.