Effectiveness of Early Versus Delayed Laparoscopic Intervention in Bile Duct Injury Post–Cholecystectomy

Abstract

This was a study aimed at comparing the results of the early and delayed laparoscopic intervention on patients who had the bile duct damaged during the process of removing the gall bladder (cholecystectomy). The bile duct injury is an alarming evil and the restoration of the duct sometimes may impair the recovery. The research design was in the form of a quant study. In the research, 120 patients with bile duct injuries were included. Their age, gender, comorbidities, the severity of the injury, clinical stability, and surgery outcomes in terms of biliary leak, bile duct strictures, and hospital readmission were recorded. The analysis has been done through correlation, regression and chi-square tests so as to determine how timing and surgical costs and clinical outcomes relate with each other. The results based on the findings were that there were lesser complications and outcomes in early laparoscopic intervention. The regression analysis produced the result that early surgery positively influenced clinical recovery. Correlation further established that timing of surgery has a negative relationship as far as complications are concerned in other words the earlier surgery is done the fewer are the chances of leakage and strictures and readmission. The chi-square test revealed the significance of the relationships between increased injuries severity, comorbidities and the status of clinical stability to the time during which surgery was conducted. These facts support the suggestion that early laparoscopy repair is safer and more effective with regard to the management of the bile duct damage. The paper comes to the conclusion of early surgical intervention that remains an option should be preferred as long as it is clinically feasible.