Risk Factors for Biliary Duct Injuries: A Literature Review

Bile duct injuries (BDI) are serious consequences of surgical treatment of the bile duct, with the majority occurring after cholecystectomy. The prevalence ranges from 0.3 to 0.6%, with 400 BDI recorded annually in the US. Hepaticojejunostomy is the preferred choice for repairing BDI, but factors like biliary peritonitis, localized inflammation, sepsis, and early repair time can affect the outcome. BDIs are more common in women in their forties due to higher cholelithiasis diagnosis. Laparoscopic cholecystectomy is considered the most effective therapy for cholelithiasis, but open cholecystectomy remains a viable choice in hospitals without sufficient laparoscopic technology or training. Roux-en-Y hepaticojejunostomy remains the optimal choice for long-term management. This review focuses on evaluating stenosis and treatment efficacy in patients with bile duct injuries. The efficiency of treatment has decreased, with 2.5% of patients avoiding additional surgeries