Online citations, reference lists, and bibliographies.

Long-term Results Of Biliary Reconstruction After Laparoscopic Bile Duct Injuries.

M. Murr, J. Gigot, D. Nagorney, W. Harmsen, D. Ilstrup, M. Farnell
Published 1999 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
HYPOTHESIS The Hepp-Couinaud approach to biliary enteric reconstruction for laparoscopic bile duct injuries provides a durable, long-term result in most patients. DESIGN Retrospective study of patients who underwent operative repair of laparoscopic bile duct injuries from January 1990 through December 1997. SETTING Academic tertiary referral center. MAIN OUTCOME MEASURES Outcome was assessed using a grading system based on clinical symptoms, liver function tests, and need for reintervention for anastomotic stricture. The Kaplan-Meier method was employed to estimate stricture-free survival. RESULTS Fifty-nine consecutive patients underwent operative repair of the following laparoscopic bile duct injuries (Strasberg classification): B: n = 2 (3%), C: n = 1 (1%), D: n= 2 (3%), E1: n= 5 (8%), E2: n= 16 (27%), E3: n= 25 (42%), E4: n = 5 (8%), and E5: n = 3 (5%). Forty-seven patients (80%) had 1 or more interventions prior to the index repair. The extrahepatic left bile duct (Hepp-Couinaud approach) was used in 46 of 53 patients who underwent a Roux-en-Y hepaticojejunostomy. Follow-up (mean+/-SEM, 3.7+/-0.3 years) was complete in 54 of the 57 patients still alive. Five patients developed subsequent anastomotic strictures and were treated with percutaneous transhepatic dilation (n = 3), endoscopic dilation (n = 1), and operative revision (n= 1). Excellent to good long-term results were achieved in the remaining 49 patients (91%). Life-table analysis yielded 95% and 88% chances of stricture-free survival at 2 and 5 years, respectively. CONCLUSIONS Complex iatrogenic proximal bile duct injuries and strictures are amenable to operative repair using the extrahepatic left bile duct. The Hepp-Couinaud approach offers a durable result in more than 90% of patients, even after previous interventions have failed.
This paper references
Bile duct injury during laparoscopic cholecystectomy: a prospective nationwide series.
S. Adamsen (1997)
High or low hepaticojeju - nostomy for bile duct strictures ?
J Terblanche (1990)
Bile duct injury during laparoscopic and conventional cholecystectomy.
D. Gouma (1994)
10.1097/00000658-199305010-00014
Management of Major Biliary Complications After Laparoscopic Cholecystectomy
G. Branum (1993)
An analysis of the problem of biliary injury during laparoscopic cholecystectomy.
S. Strasberg (1995)
10.1097/00000658-199608000-00008
The long-term outcome of hepaticojejunostomy in the treatment of benign bile duct strictures.
A. Tocchi (1996)
10.1016/S0039-6060(05)80022-4
Benign biliary strictures: repair and outcome with a contemporary approach.
M. McDonald (1995)
10.1097/00000658-199703000-00005
Laparoscopic cholecystectomy-related bile duct injuries: a health and financial disaster.
S. Savader (1997)
10.1097/00000658-199321850-00005
The Hepp-Couinaud approach to strictures of the bile ducts. I. Injuries, choledochal cysts, and pancreatitis.
J. Myburgh (1993)
10.1016/0002-9610(94)90050-7
Characteristics of biliary tract complications during laparoscopic cholecystectomy: a multi-institutional study.
M. Woods (1994)
10.1097/00000658-199606000-00002
Long-term follow-up after bilioenteric anastomosis for benign bile duct stricture.
W. Nealon (1996)
10.5555/uri:pii:0039606090902779
High or low hepaticojejunostomy for bile duct strictures?
J. Terblanche (1990)
10.1097/00000658-199705000-00003
Major bile duct injuries during laparoscopic cholecystectomy. Follow-up after combined surgical and radiologic management.
K. Lillemoe (1997)
10.1016/S0002-9610(05)80783-4
Spectrum and management of major complications of laparoscopic cholecystectomy.
A. Ress (1993)
10.1016/S0002-9610(05)80397-6
Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases.
D. Deziel (1993)
10.1097/00000658-199611000-00005
Mortality and complications associated with laparoscopic cholecystectomy. A meta-analysis.
J. Shea (1996)



This paper is referenced by
BENIGN BILIARY STRICTURES : REPAIR AND OUTCOME WITH THE USE OF SILASTIC TRANSHEPATIC TRANSANASTOMOTIC STENTS
José Artur (2011)
10.1016/S1283-0798(10)70439-3
Trattamento delle complicazioni della colecistectomia
Laurent Chiche (2010)
10.5812/traumamon.21115
Temporary Trans-jejunal Hepatic Duct Stenting in Roux-en-y Hepaticojejunostomy for Reconstruction of Iatrogenic Bile Duct Injuries
Mohammad Sadegh Fazeli (2016)
10.1001/ARCHSURG.140.10.986
Bile duct injury during laparoscopic cholecystectomy: results of an Italian national survey on 56 591 cholecystectomies.
G. Nuzzo (2005)
10.1097/SLA.0b013e31817b65f2
Major Hepatectomy for the Treatment of Complex Bile Duct Injury
A. Laurent (2008)
10.1002/9781444341294.CH12
Gallstones and Benign Biliary Diseases
Js Dooley (2011)
Safra yolu yaralanmasý olan olgularýmýzýn analizi
M. Dirlik (2005)
10.1007/s11894-010-0173-5
Clinical Trial Report: Endoscopic Treatment of Postoperative Bile Duct Strictures Using Multiple Stents: Long-Term Results
John Kenneth Baillie (2011)
10.1016/S0221-0363(07)89916-1
Anatomie du foie : ce qu’il faut savoir
M. Lafortune (2007)
10.1016/j.suc.2008.07.006
Iatrogenic biliary injuries: classification, identification, and management.
K. McPartland (2008)
10.1016/j.jamcollsurg.2008.07.008
Establishing "normal" values for liver function tests after reconstruction of biliary injuries.
E. Fialkowski (2008)
10.1097/SLA.0b013e3182a1b25b
Improved Outcomes of Bile Duct Injuries in the 21st Century
H. Pitt (2013)
10.1007/s00595-009-4218-z
A safe laparoscopic cholecystectomy depends upon the establishment of a critical view of safety
Y. Yamashita (2009)
10.1016/S1072-7515(00)00717-1
The "hidden cystic duct" syndrome and the infundibular technique of laparoscopic cholecystectomy--the danger of the false infundibulum.
S. Strasberg (2000)
10.1016/S1155-1976(12)70029-3
Plaies des voies biliaires au cours des cholécystectomies
M. C. D. Rieu (2011)
Long-Term Changes in Hepatobiliary Physiology After Roux-enY Hepaticojejunostomy
Johanna Laukkarinen (2007)
10.1016/j.amjsurg.2012.02.001
Percutaneous transhepatic balloon dilatation of benign bilioenteric strictures: long-term results in 110 patients.
D. Bonnel (2012)
10.1002/bjs.5266
Bile duct injury in the era of laparoscopic cholecystectomy
S. Connor (2006)
10.1080/13651820701883114
Complex bile duct injuries: management.
E. de Santibáñes (2008)
10.1007/978-1-4939-2223-9_19
Contralateral Bile Duct Injury During Hepatic Resection
Vikas Dudeja (2015)
10.12659/MSM.906630
Retrospective Clinical Study of the Effects of T-Tube Placement for Bile Duct Stricture
Ibrahim Tayfun Sahiner (2017)
10.1001/ARCHSURG.139.5.483
Quality-of-life assessment of surgical reconstruction after laparoscopic cholecystectomy-induced bile duct injuries: what happens at 5 years and beyond?
J. Sarmiento (2004)
10.1007/s10353-010-0524-3
Hepatic resection for patients with cholecystectomy related complex bile duct injury
Sven Christian Schmidt (2010)
10.11648/J.JS.20150305.12
Repair 0ptions Following Iatrogenic Bile Duct Injuries
Mohamed S Abdel-Hamid (2015)
10.1097/SLE.0000000000000226
Late Complications After Endoscopic Sphincterotomy
Melissa Oliveira-Cunha (2016)
10.1007/s00268-014-2933-0
Major Liver Resection as Definitive Treatment in Post-cholecystectomy Common Bile Duct Injuries
J. Pekolj (2014)
10.1590/S0100-69912005000200005
Lesão iatrogênica de vias biliares
G. Aguiar (2005)
10.1080/00015458.2019.1570741
Long-term results of secondary biliary repair for cholecystectomy-related bile duct injury: results of a tertiary referral center
Julie Navez (2019)
Iatrogenic lesions of the biliary tract in laparoscopic surgery. A 10-year experience
Norkys Martín Bourricaudy (2008)
10.1007/s00464-006-0488-3
Avoiding biliary injury during laparoscopic cholecystectomy: technical considerations
M. Callery (2006)
10.1007/s00464-001-9230-3
Management of bile duct injury during and after laparoscopic cholecystectomy
K. Tsalis (2002)
10.3748/WJG.15.4097
Iatrogenic bile duct injuries: etiology, diagnosis and management.
B. Jabłońska (2009)
See more
Semantic Scholar Logo Some data provided by SemanticScholar