Bile duct injury in laparoscopic cholecystectomy.

Bile duct injuries in laparoscopic cholecystectomy are briefly reviewed. The Norwegian National Cholecystectomy Registry was started on April 1, 1993, to collect data from most Norwegian surgical departments. in the period April 1, 1993-May 31, 1995, common bile duct (CBD) injuries necessitating treatment were reported in 0.61% of 2,612 laparoscopic cholecystectomies and in 0.74% of 674 open cholecystectomies. Early diagnosis is mandatory and the treatment is then simple. Delayed diagnosis is dangerous and the treatment may then be difficult. This field seems to show a difference between publications and the real world.