Background: Injury to the extrahepatic biliary tree is a well-identified complication of cholecystectomy. The present study was conducted to compare results of early and delayed repair of common bile duct injury.
Materials & Methods: 74 patients of bile duct injury of both genders were divided into 2 groups of 37 each. Group I was acute (≤48 h from index procedure) and group II was delayed (>48 h after index procedure). Aetiology, hospital length of stay and time to repair was recorded.
Results: There were 27 males and 10 females in group I and 25 males and 12 females in group II. Type A was seen in 0 and 1, B in 2 and 4, C in 5 and 6, D in 8 and 3, E1 in 4 and 7, E2 in 6 and 6, E3 in 8 and 4, E4 in 1 and 3, E5 in 3 and 1 and Xa in 0 and 2 in group I and II respectively. The difference was statistically significant (P< 0.05). Aetiology was cholecystectomy in 20 in group I and 21 in group II, abdominal trauma in 12 in group I and 11 in group II and non-biliary abdominal procedures seen in 3 in group I and 5 in group II. The mean hospital length of stay was 7.2 days in group I and 8.6 days in group II and time to repair was 1.6 days in group I and 40.2 days in group II. The difference was significant (P< 0.05).
Conclusion: Early repair had better treatment outcome as compared to late repair of bile duct injury. However more research is needed to identify the factors that determine morbidity and results in patients undergoing CBDI repair.