Online citations, reference lists, and bibliographies.

Major Bile Duct Injuries During Laparoscopic Cholecystectomy. Follow-up After Combined Surgical And Radiologic Management.

K. Lillemoe, S. Martin, J. Cameron, C. Yeo, M. Talamini, S. Kaushal, J. Coleman, A. Venbrux, S. Savader, F. Osterman, H. Pitt
Published 1997 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
OBJECTIVE The authors provide the results of follow-up evaluation after combined surgical and radiologic management of 89 patients with major bile duct injuries during laparoscopic cholecystectomy. SUMMARY BACKGROUND DATA The incidence and mechanism of injury of major bile duct injuries during laparoscopic cholecystectomy has been clearly defined. Furthermore, a number of series have described the management of these injuries by surgical, endoscopic, and radiologic techniques with excellent short-term results. Long-term follow-up data, however, are lacking in the management of these injuries. METHODS Data were collected prospectively on 89 patients treated at a single institution with major bile duct injuries after laparoscopic cholecystectomy managed between July 1, 1990, and July 1, 1996. Patients referred with injuries underwent early percutaneous transhepatic cholangiography and biliary drainage. Based on the cholangiographic appearance and clinical situation, patients were managed by either percutaneous balloon dilatation or surgical reconstruction with a Roux-en-Y hepaticojejunostomy with transanastomotic stenting. Follow-up was obtained by personal interview during October 1996. RESULTS Two patients died without an attempt at definitive therapy. Both deaths were caused by sepsis and multisystem organ failure present at the time of transfer to the authors' institution. The remaining 87 patients were managed initially by either balloon dilatation (N = 28) or surgical reconstruction (N = 59). Ten patients have not completed treatment and still have biliary stents in place. Evaluation of 25 patients completing treatment after balloon dilatation (mean follow-up, 27.8 months) showed a success rate of 64%. Evaluation of 52 patients completing treatment after surgical reconstruction (mean follow-up, 33.4 months) showed a success rate of 92%. All failures were managed successfully by either surgical reconstruction or balloon dilatation. CONCLUSIONS Major bile duct injuries can be managed successfully by combined surgical and radiologic techniques. This series provides, for the first time, significant follow-up on a large number of patients with overall success rates of 64% after balloon dilatation and 92% after surgical reconstruction. The combination of surgery and balloon dilatation resulted in a successful outcome in 100% of patients treated.



This paper is referenced by
Postoperative Duct Strictures
G. Raju (2002)
10.1016/j.ciresp.2011.07.002
[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)
10.1016/J.BPG.2004.05.003
Endoscopic and surgical management of bile duct injury after laparoscopic cholecystectomy.
E. Rauws (2004)
10.1016/j.jamcollsurg.2010.06.013
Is there a role for endoscopic therapy as a definitive treatment for post-laparoscopic bile duct injuries?
J. Fatima (2010)
Evolving Treatment Paradigms for Acute Cholecystitis
J. Philip Welch (2017)
10.1007/s00117-005-1299-6
Interventionen bei benignen Gallengangstenosen
A. Lubienski (2005)
10.1016/S0002-9610(03)00056-4
Surgeons' anonymous response after bile duct injury during cholecystectomy.
J. Francoeur (2003)
Iatrogenic bile duct injury during cholecystectomy
Björn Törnqvist (2013)
10.1007/s00423-011-0745-3
Surgical management and outcome of bile duct injuries following cholecystectomy: a single-center experience
Jerzy Lubikowski (2011)
10.1016/B978-1-4377-1454-8.00042-4
Chapter 42A – Benign biliary strictures
C. Corvera (2012)
10.1007/978-3-319-63884-3
The Management of Gallstone Disease
Michael R Cox (2018)
10.1016/j.ijscr.2018.05.008
Treatment of late identified iatrogenic injuries of the right and left hepatic duct after laparoscopic cholecystectomy without transhepatic stent and Witzel drainage: Case report
Zijah Rifatbegović (2018)
10.1016/J.GII.2013.04.005
Acute cholecystitis at ER—We can remove it!
Keon-Young Lee (2013)
10.1007/0-387-30485-1_17
Laparoscopic Cholecystectomy: Cholangiography
G. Berci (2006)
10.1016/J.JCHIRV.2014.01.014
Conséquences à long terme des plaies des voies biliaires après cholécystectomie
Laure Barbier (2014)
10.1007/978-3-319-22765-8_14
Management of Surgical Complications
Helmi Khadra (2016)
10.1016/J.JCHIRV.2019.05.005
Résultats de la réparation chirurgicale des plaies biliaires après cholécystectomie : audit d’un centre expert
S. Ray (2020)
10.1016/S1365-182X(17)30754-2
Long-term outcome after repair of major bile duct injury created during laparoscopic cholecystectomy
R. S. Hart (2000)
10.1590/S0043-31442006000400005
Bile duct injuries in the laparoscopic era: the University Hospital of the West Indies experience.
J. Plummer (2006)
10.2478/V10035-010-0051-8
Long-Term Results in the Surgical Treatment of Iatrogenic Bile Duct Injuries
Beata Jabłońska (2010)
10.18499/2070-478X-2012-5-4-705-707
On iatrogenic injuries treatment of extrahepatic biliary tracts
В. В. Рыбачков (2012)
10.11604/pamj.2020.35.77.16703
Plaie isolée du cholédoque post traumatique, lésion inhabituelle: à propos d'un cas
Yacoub Mohamed Sghair (2020)
10.1136/bmj.e6457
Effect of intended intraoperative cholangiography and early detection of bile duct injury on survival after cholecystectomy: population based cohort study
B. Törnqvist (2012)
10.1159/000136570
Management postoperativer und postinterventioneller Gallenwegskomplikationen
A. Mihaljevic (2008)
10.1016/S1091-255X(01)80047-0
Results of a new strategy for reconstruction of biliary injuries having an isolated right-sided component
S. Strasberg (2001)
10.1620/TJEM.209.355
Bile duct injury during cholecystectomy requiring delayed liver transplantation: a case report and literature review.
D. Oncel (2006)
10.1016/j.jviscsurg.2019.08.005
Outcomes of surgery for post-cholecystectomy bile duct injuries: An audit from a tertiary referral center.
Sukanta Ray (2019)
10.1016/j.jamcollsurg.2013.01.051
Intraoperative management and repair of bile duct injuries sustained during 10,123 laparoscopic cholecystectomies in a high-volume referral center.
J. Pekolj (2013)
10.1007/s00464-002-8705-1
Acute bile duct injury
M. Mercado (2002)
10.1016/J.CIRENG.2011.07.001
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)
Lesión iatrogénica de la vía biliar. Experiencia en la reconstrucción en 180 pacientes
M. A. Mercado (2002)
10.1007/s00464-001-8156-0
Management of major bile duct injury associated with laparoscopic cholecystectomy
T. Robinson (2001)
See more
Semantic Scholar Logo Some data provided by SemanticScholar