Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The most common operation on the digestive tract is laparoscopic cholecystectomy (LC). Many studies have found that the use of cholecystectomy has grown since the introduction of laparoscopy. Bile duct injuries are the third most common type of injury in general surgical practise. It is frequently associated with a greater rate of death and morbidity. It causes reduced morbidity if diagnosed early and treated promptly. To compare the incidence of bile duct injuries in laparoscopic cholecystectomy with and without biliary mapping using methylene blue in patients who are admitted in Kalimpong district hospital. The present study was a comparative study. This study was conducted from May 2021 to April 2022 at department of general surgery in Kalimpong district hospital. Total 100 patients were included in this study. The mean operative time of the patients in with methylene Blue was 62.02 4.413. Without methylene blue, the patient’s mean operative time was 94.01 6.521. The mean operative time distribution vs. group was statistically significant (p = 0.001). Lap to open conversion occurred in 2 patients treated with methylene blue and 16 patients treated without methylene blue. Methylene blue had a statistically significant (p = 0.0002) association with lap to open conversion. About 2 patients had bile duct injuries with methylene blue, whereas 14 patients had Bile duct injuries without methylene blue. Methylene blue was found to be associated with bile duct injuries (p = 0.0010). We concluded that, when biliary mapping with methylene blue is performed during laparoscopic cholecystectomy, extra hepatic biliary apparatus is stained and visible. As a result, trainee surgeons are more prepared to understand the usual shape and variations of the biliary tree as well as the blood arteries that supply it. So that the trainee surgeons may carefully dissect Calot’s triangle put clips over the cystic duct and artery without harming them and do so at the proper time to prevent lengthening the operation’s duration. Switching from laparoscopic to open surgery is also extremely unusual with methylene blue biliary mapping. As a result, using methylene blue for biliary mapping during laparoscopic cholecystectomy may reduce the likelihood of common bile duct injuries.
How to cite this article:
Susavan Das and Sayak Roy. A Comparative Study of Bileduct Injuries During Laparoscopic Cholecystectomy With and Without Biliary Mapping Using Methylene Blue.
DOI: https://doi.org/10.36478/10.59218\makrjms.2023.933.936
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218\makrjms.2023.933.936