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Outcomes And Quality Of Life After Major Bile Duct Injury In Long-term Follow-up

Hanna Koppatz, V. Sallinen, H. Mäkisalo, A. Nordin
Published 2020 · Medicine

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Introduction Recently new standards for reporting outcomes of bile duct injury (BDI) have been proposed. It is unclear how these treatment outcomes are reflected in quality of life (QOL). The aim of this study was to report outcomes and QOL after repair of major BDI and compare repairs by hepatobiliary surgeon to repairs by non-hepatobiliary surgeons. Methods This was a retrospective study of patients treated for major (Strasberg E-type) BDI after cholecystectomy at a tertiary hepatobiliary center. Outcomes were assessed using Cho-Strasberg proposed standards. QOL was assessed using Short Form Health Survey (SF-36) and the gastrointestinal QOL-index (GIQLI). Patients undergoing uneventful cholecystectomy matched by age, urgency, and duration of follow-up were used as controls. Results Fifty-two patients with major BDI treated between 2000 and 2016 were included (42% male, median age 53 years). Thirty-seven (71%) patients attained primary patency (29 (83%) if primarily operated by a hepatobiliary surgeon). Actuarial primary patency rate (grade A result) at 1, 3, and 5 years was 58%, 56%, and 53% in the whole cohort, and 83%, 80%, and 80% in patients primary treated by a hepatobiliary surgeon, respectively. At 3-year follow-up 6 (11.5%) patients obtained grade B, 10 (19.2%) grade C, and 7 (13.5%) grade D result. QOL was similar in patients with BDI and controls (median SF-36 physical component 51.7 and 53.6, p  = 1.0, mental component 53.3 and 53.4, p  = 1.0, GIQLI 109.0 and 123.0, p  = 0.174, respectively) at median 90 (IQR 70–116) months from cholecystectomy. QOL was similar regardless of outcome grade. Conclusion First attempt to repair a severe BDI should be undertaken by a hepatobiliary surgeon. However, long-term QOL is not affected even by severe BDI, and QOL is not associated with the grade of the outcome.
This paper references
Long-term health-related quality of life after iatrogenic bile duct injury repair.
A. Ejaz (2014)
Intraoperative management and repair of bile duct injuries sustained during 10,123 laparoscopic cholecystectomies in a high-volume referral center.
J. Pekolj (2013)
Impaired Quality of Life 5 Years After Bile Duct Injury During Laparoscopic Cholecystectomy: A Prospective Analysis
D. Boerma (2001)
Impaired quality of life 5 years Surgical Endoscopy 1 3 after bile duct injury during laparoscopic cholecystectomy: a prospective analysis
D Boerma (2001)
Mortality and complications associated with laparoscopic cholecystectomy. A meta-analysis.
J. Shea (1996)
Quality‐of‐life assessment in the treatment of iatrogenic bile duct injuries: hepaticojejunostomy versus end‐to‐end biliary reconstructions
B. Jabłońska (2012)
Bile duct injury during laparoscopic cholecystectomy: results of an Italian national survey on
G Nuzzo (2005)
RAND-36 as a measure of Health-related Quality of life. Reliability, construct validity and reference values in the Finnish general population
A Aalto (1999)
Outcome trends and safety measures after 30 years of laparoscopic cholecystectomy: a systematic review and pooled data analysis
P. Pucher (2017)
Bile duct injury during laparoscopic cholecystectomy: results of an Italian national survey on 56 591 cholecystectomies.
G. Nuzzo (2005)
Quality of Life in Bile Duct Injury: 1-, 5-, and 10-year Outcomes After Surgical Repair
I. Domínguez-Rosado (2014)
Long‐term follow‐up and risk factors for strictures after hepaticojejunostomy for bile duct injury: An analysis of surgical and percutaneous treatment in a tertiary center
K. A. C. Booij (2018)
Iatrogenic biliary injury: 13,305 cholecystectomies experienced by a single surgical team over more than 13 years
O. Tantia (2007)
Do SF-36 summary component scores accurately summarize subscale scores?
C. Taft (2004)
Responsiveness and Minimal Clinically Important Differences after Cholecystectomy: GIQLI Versus SF-36
Hon-Yi Shi (2008)
Quality-of-life assessment of surgical reconstruction after laparoscopic cholecystectomy-induced bile duct injuries: what happens at 5 years and beyond?
J. Sarmiento (2004)
Endoscopic Therapy of Biliary Injury After Cholecystectomy
Mia Rainio (2017)
“Sideways”: Results of Repair of Biliary Injuries Using a Policy of Side-To-Side Hepatico-Jejunostomy
E. Winslow (2009)
A New Era of Bile Duct Repair: Robotic-Assisted Versus Laparoscopic Hepaticojejunostomy
A. Cuendis-Velázquez (2018)
Management and outcome of major bile duct injuries after laparoscopic cholecystectomy: From therapeutic endoscopy to liver transplantation
A. Nordin (2002)
The long-term effect of bile duct injuries on health-related quality of life: a meta-analysis.
M. Landman (2013)
An analysis of the problem of biliary injury during laparoscopic cholecystectomy.
G. Berci (1995)
Twelve hundred open cholecystectomies before the laparoscopic era. A standard for comparison.
L. Morgenstern (1992)
Biliary Strictures: Classification Based on the Principles of Surgical Treatment
H. Bismuth (2001)
Long-Term Impact of Iatrogenic Bile Duct Injury
A. Schreuder (2019)
Proposed standards for reporting outcomes of treating biliary injuries.
J. Cho (2018)
Quality of life after iatrogenic bile duct injury – a case control study
J. Karvonen (2013)
Disparities in bile duct injury care
Alexandra Rueda-De-Leon (2019)

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