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Major Bile Duct Injuries After Laparoscopic Cholecystectomy: A Tertiary Center Experience

A. Frilling, J. Li, F. Weber, N. R. Frühauf, Jennifer Engel, S. Beckebaum, A. Paul, T. Zoepf, M. Malago', C. Broelsch
Published 2007 · Medicine

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Bile duct injury is a severe and potentially life-threatening complication of laparoscopic cholecystectomy. Several series have described a 0.5% to 1.4% incidence of bile duct injuries during laparoscopic cholecystectomy. The aim of this study was to report on an institutional experience with the management of complex bile duct injuries and outcome after surgical repair. Data were collected prospectively from 40 patients with bile duct injuries referred for surgical treatment to our center between April {dy1998} and December 2003. Prior to referral, 35 patients (87.5%) underwent attempts at surgical reconstruction at the primary hospital. In77.5%of the patients, complex typeE1or typeE2BDIwas found. Concomitant with bile duct injury, seven patients had vascular injuries. Roux-en-Y hepaticojejunostomy was carried out in 33 patients. In two patients, Roux-en-Y hepaticojejunostomy and vascular reconstruction were necessary. Five patients, one with primary nondiagnosed Klatskin tumor, required right hepatectomy. Two patients, both with bile duct injuries and vascular damage, died postoperatively. Because of progressive liver insufficiency, one of them was listed for high-urgency liver transplantation but died prior to intervention. At the median follow-up of 589 days, 82.5% of the patients are in excellent general condition. Seven patients have signs of chronic cholangitis. Major bile duct injuries remain a significant cause of morbidity and even death after laparoscopic cholecystectomy. Because they present a considerable surgical challenge, early referral to an experienced hepatobiliary center is recommended.
This paper references
Complications of cholecystectomy: risks of the laparoscopic approach and protective effects of operative cholangiography: a population-based study.
D. Fletcher (1999)
Routine intraoperative laparoscopic ultrasonography with selective cholangiography reduces bile duct complications during laparoscopic cholecystectomy.
W. Biffl (2001)
Bile duct injury after laparoscopic cholecystectomy. The United States experience.
B. Macfadyen (1998)
Bile duct injuries during laparoscopic cholecystectomy. Factors that influence the results of treatment.
L. C. Stewart (1995)
Bile duct injury and bile leakage in laparoscopic cholecystectomy
A. J. Mcmahon (1995)
Postoperative Bile Duct Strictures: Management and Outcome in the 1990s
K. Lillemoe (2000)
Bile Duct Injury During Laparoscopic Cholecystectomy: Results of a National Survey
S. B. Archer (2001)
Correction: A prospective analysis of 1518 laparoscopic cholecystectomies.
J. Barone (1991)
Laparoscopic Cholecystectomy: Bile Duct and Vascular Injuries: Management and Outcome
Ø. Mathisen (2002)
An analysis of the problem of biliary injury during laparoscopic cholecystectomy.
S. Strasberg (1995)
Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases.
D. Deziel (1993)
Open Cholecystectomy A Contemporary Analysis of 42,474 Patients
J. Roslyn (1993)
Devastating and fatal complications associated with combined vascular and bile duct injuries during cholecystectomy.
J. Buell (2002)
Bile duct injury during laparoscopic cholecystectomy: myth or reality of the learning curve?
J. Calvete (2000)
Causes and Prevention of Laparoscopic Bile Duct Injuries: Analysis of 252 Cases From a Human Factors and Cognitive Psychology Perspective
L. Way (2003)
Common bile duct injury during laparoscopic cholecystectomy and the use of intraoperative cholangiography: adverse outcome or preventable error?
D. Flum (2001)
Laparoscopic bile duct injuries. Risk factors, recognition, and repair.
R. L. Rossi (1992)
Commonbileduct injuryduring laparoscopiccholecystectomy and the use of intraoperative cholangiography
FlumDR (2001)
An external audit of laparoscopic cholecystectomy in the steady state performed in medical treatment facilities of the Department of Defense.
D. Wherry (1996)
Impaired Quality of Life 5 Years After Bile Duct Injury During Laparoscopic Cholecystectomy: A Prospective Analysis
D. Boerma (2001)
Incidence and nature of bile duct injuries following laparoscopic cholecystectomy: An audit of 5913 cases
M. Richardson (1996)
Complica - tions of cholecystectomy : Risks of the laparoscopic approach and protective effects of operative cholangiography
BV MacFayden (1999)
Multipractice analysis of laparoscopic cholecystectomy in 1,983 patients.
G. Larson (1992)
PikoraTJ, KnuimanMW,SheinerHJ, Edis A.Complications of cholecystectomy: Risks of the laparoscopic approach and protective effects of operative cholangiography
DR Fletscher (1999)
LevardH. Coeliscopic cholecystectomy
F Dubois (1990)
Laparoscopic cholecystectomy-related bile duct injuries: a health and financial disaster.
S. Savader (1997)
Incidence and nature of bile duct injuries following laparoscopic cholecystectomy: An audit of 5913 cases
E. Nilsson (1997)
Postoperative strictures of the bile ducts--causes, prevention, repair procedures.
R. Maingot (1977)
Failed primary management of iatrogenic biliary injury: incidence and significance of concomitant hepatic arterial disruption.
A. Koffron (2001)
Management and outcome of major bile duct injuries after laparoscopic cholecystectomy: from therapeutic endoscopy to liver transplantation.
A. Nordin (2002)
Laparoscopic cholecystectomy. Treatment of choice for symptomatic cholelithiasis.
B. Schirmer (1991)
Management and outcome of patients with combined bile duct and hepatic artery injuries.
N. Gupta (1998)
Coelioscopic Cholecystectomy: Preliminary Report of 36 Cases
F. Dubois (1990)
Major Bile Duct Injuries Associated With Laparoscopic Cholecystectomy: Effect of Surgical Repair on Quality of Life
G. Melton (2002)
Bile duct injury after laparoscopic cholecystectomy
B. Macfadyen (1998)
Retrospective and prospective multi-institutional laparoscopic cholecystectomy study organized by the Society of American Gastrointestinal Endoscopic Surgeons
M. Airan (2005)

This paper is referenced by
Emergency liver resection for combined biliary and vascular injury following laparoscopic cholecystectomy: case report and review of the literature.
E. Felekouras (2007)
Lesiones iatrogénicas de la vía biliar
Francisco R Gómez (2010)
Iatrogenic Biliary Injuries: Multidisciplinary Management in a Major Tertiary Referral Center
I. Salama (2014)
Therapeutic strategies of iatrogenic portal vein injury after cholecystectomy.
Z. Wang (2013)
Overall operative outcomes of Laparoscopic Cholecystectomy and our experience in Statistics
Faruquzzaman and Hossain Sm (2017)
Combined Biliary and Right Hepatic Artery Injury during Laparoscopic Cholecystectomy
Jitendra Mistry (2020)
Hemorragia diferida de la arteria hepática derecha tras iatrogenia biliar por colecistectomía laparoscópica que precisó trasplante hepático por insuficiencia hepática aguda: caso clínico y revisión de la literatura
Ricardo Robles Campos (2011)
Long-term outcome of biliary reconstruction for bile duct injuries from laparoscopic cholecystectomies.
R. M. Walsh (2007)
Liver resection for the treatment of post-cholecystectomy biliary stricture with vascular injury.
M. Perini (2015)
Major Hepatectomy for the Treatment of Complex Bile Duct Injury
A. Laurent (2008)
Long-Term Impact of Iatrogenic Bile Duct Injury
A. Schreuder (2019)
Impact of concomitant arterial injury on the outcome of laparoscopic bile duct injury.
C. Pulitanò (2011)
Complications of laparoscopic cholecystectomy
Tariq E. Al-aubaidi MBChB (2009)
Surgical Management of Segmental and Sectoral Bile Duct Injury After Laparoscopic Cholecystectomy: a Challenging Situation
Jun Li (2009)
Liver Resection and Transplantation in the Management of Iatrogenic Biliary Injury
B. Thomson (2007)
Revision Roux-en-y hepaticojejunostomy for a post-cholecystectomy complex vasculobiliary injury with complete proper hepatic artery occlusion: A case report and literature review
Gunjan Shailesh Desai (2019)
Management of Common Bile Duct Injury
Marc G. Mesleh (2020)
Laparoscopic bile duct injury : consequences, quality of life and claims
P. D. Reuver (2008)
Surgical management in biliary restricture after Roux-en-Y hepaticojejunostomy for bile duct injury.
J. Yan (2007)
Bile Duct Injury—from Injury to Repair: an Analysis of Management and Outcome
P. Mishra (2013)
[Iatrogenic bile duct injuries].
F. Ruiz Gómez (2010)
Implications of Left-sided Gallbladder in the Emergency Setting: Retrospective Review and Top Tips for Safe Laparoscopic Cholecystectomy
H. K. Abongwa (2017)
'Extreme' vasculobiliary injuries: association with fundus-down cholecystectomy in severely inflamed gallbladders.
S. Strasberg (2012)
Hepatic resection for patients with cholecystectomy related complex bile duct injury
Sven Christian Schmidt (2010)
Iatrogenic bile duct injury during laparoscopic cholecystectomy.
N. Saad (2008)
Delayed Right Hepatic Artery Haemorrhage After Iatrogenic Gallbladder by Laparoscopic Cholecystectomy that Required a Liver Transplant Due to Acute Liver Failure: Clinical Case and Review of the Literature
Ricardo Robles Campos (2011)
Bile duct injuries following laparoscopic cholecystectomy and repair involving lowering of the hilar plate
Bilal O. Al-Jiffry (2013)
Non-surgical treatment of post-surgical bile duct injury: clinical implications and outcomes.
Y. Eum (2014)
Common bile duct stones and their management
A. D. Dharmapala (2014)
Liver Transplantation for Common Bile Duct Injury
Kelly Collins (2015)
Late Complications After Endoscopic Sphincterotomy
Melissa Oliveira-Cunha (2016)
Hepatic resection for post-cholecystectomy bile duct injuries: a literature review.
S. Truant (2010)
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