Online citations, reference lists, and bibliographies.

Postoperative Bile Duct Strictures: Management And Outcome In The 1990s

K. Lillemoe, G. Melton, J. Cameron, H. Pitt, K. Campbell, M. Talamini, P. A. Sauter, J. Coleman, C. Yeo
Published 2000 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
ObjectiveTo describe the management and outcome after surgical reconstruction of 156 patients with postoperative bile duct strictures managed in the 1990s. Summary Background DataThe management of postoperative bile duct strictures and major bile duct injuries remains a challenge for even the most skilled biliary tract surgeon. The 1990s saw a dramatic increase in the incidence of bile duct strictures and injuries from the introduction and widespread use of laparoscopic cholecystectomy. Although the management of these injuries and short-term outcome have been reported, long-term follow-up is limited. MethodsData were collected prospectively on 156 patients treated at the Johns Hopkins Hospital with major bile duct injuries or postoperative bile duct strictures between January 1990 and December 1999. With the exception of bile duct injuries discovered and repaired during surgery, all patients underwent preoperative percutaneous transhepatic cholangiography and placement of transhepatic biliary catheters before surgical repair. Follow-up was conducted by medical record review or telephone interview during January 2000. ResultsOf the 156 patients undergoing surgical reconstruction, 142 had completed treatment with a mean follow-up of 57.5 months. Two patients died of reasons unrelated to biliary tract disease before the completion of treatment. Twelve patients (7.9%) had not completed treatment and still had biliary stents in place at the time of this report. Of patients who had completed treatment, 90.8% were considered to have a successful outcome without the need for follow-up invasive, diagnos tic, or therapeutic interventional procedures. Patients with reconstruction after injury or stricture after laparoscopic cholecystectomy had a better overall outcome than patients whose postoperative stricture developed after other types of surgery. Presenting symptoms, number of stents, interval to referral, prior repair, and length of postoperative stenting were not significant predictors of outcome. Overall, a successful outcome, without the need for biliary stents, was obtained in 98% of patients, including those requiring a secondary procedure for recurrent stricture. ConclusionsMajor bile duct injuries and postoperative bile duct strictures remain a considerable surgical challenge. Management with preoperative cholangiography to delineate the anatomy and placement of percutaneous biliary catheters, followed by surgical reconstruction with a Roux-en-Y hepaticojejunostomy, is associated with a successful outcome in up to 98% of patients.
This paper references
10.1016/S1072-7515(99)00072-1
Complex gastrointestinal surgery: impact of provider experience on clinical and economic outcomes.
T. Gordon (1999)
10.1001/archsurg.1993.01420170024002
Laparoscopic Cholecystectomy: A Statewide Experience
R. Orlando (1993)
10.1097/00000658-199705000-00003
Major bile duct injuries during laparoscopic cholecystectomy. Follow-up after combined surgical and radiologic management.
K. Lillemoe (1997)
10.1097/00000658-199303000-00004
Benign Biliary Strictures Surgery or Endoscopy?
P. Davids (1993)
10.1016/0002-9610(82)90595-5
Factors influencing outcome in patients with postoperative biliary strictures.
H. Pitt (1982)
10.1097/00000658-198910000-00001
Benign Postoperative Biliary Strictures: Operate or Dilate?
H. Pitt (1989)
10.1148/radiology.188.2.8327685
Complications of laparoscopic cholecystectomy: coordinated radiologic and surgical management in 21 patients.
E. vanSonnenberg (1993)
10.1016/S1051-0443(98)70436-1
The biliary manometric perfusion test and clinical trial--long-term predictive value of success after treatment of bile duct strictures: ten-year experience.
S. Savader (1998)
10.1016/s0039-6109(16)46380-2
Bile duct injuries. Spectrum, mechanisms of injury, and their prevention.
R. Martín (1994)
An analysis of the problem of biliary injury during laparoscopic cholecystectomy.
G. Berci (1995)
10.1007/s004649900315
Bile duct injuries during laparoscopic cholecystectomy
D. Olsen (1997)
Indications and results of hepaticojejunostomy in benign strictures of the biliary tract.
A. Csendes (1992)
10.1001/archsurg.1995.01430100101019
Bile duct injuries during laparoscopic cholecystectomy. Factors that influence the results of treatment.
L. C. Stewart (1995)
10.1002/bjs.1800800938
Laparoscopic cholecystectomy in the Netherlands
P. Go (1993)
10.1201/9780203492451.ch4
Procedural knowledge
M.P. Georgeff (1986)
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)
10.1016/S0016-5107(94)70003-6
Endoscopic treatment of biliary injury in the era of laparoscopic cholecystectomy.
R. Kozarek (1994)
10.1097/00000658-199411000-00005
An External Audit of Laparoscopic Cholecystectomy Performed in Medical Treatment Facilities of the Department of Defense
D. Wherry (1994)
Use of endoscopic retrograde cholangiopancreatography in the management of biliary complications after laparoscopic cholecystectomy.
G. Vitale (1993)
10.1007/s004649900660
Common bile duct injuries during laparoscopic cholecystectomy that result in litigation
B. Carroll (1998)
Laparoscopic cholecystectomy bile duct injuries: a health and financial disaster
SJ Savader (1997)
10.1111/J.1445-2197.1998.TB04742.X
Laparoscopic biliary injury: more than a learning curve problem.
J. Windsor (1998)
Biliary reconstruction without transanastomotic stent.
J. Innes (1988)
10.1016/0002-9610(84)90054-0
Recurrent biliary stricture. Patterns of recurrence and outcome of surgical therapy.
C. Pellegrini (1984)
10.1097/00000658-199308000-00003
Open Cholecystectomy A Contemporary Analysis of 42,474 Patients
J. Roslyn (1993)
10.1097/00000658-199703000-00005
Laparoscopic cholecystectomy-related bile duct injuries: a health and financial disaster.
S. Savader (1997)
10.1097/00000658-199608000-00006
An external audit of laparoscopic cholecystectomy in the steady state performed in medical treatment facilities of the Department of Defense.
D. Wherry (1996)
10.1136/gut.38.1.141
Treatment of bile duct lesions after laparoscopic cholecystectomy.
J. Bergman (1996)
10.1002/bjs.1800841237
Bile duct injury following laparoscopic cholecystectomy: Referral pattern and management
L. Basso (1997)
10.1148/radiology.184.1.1535161
Biliary tract complications following laparoscopic cholecystectomy: imaging and intervention.
S. Trerotola (1992)
10.1097/00000658-199305010-00014
Management of Major Biliary Complications After Laparoscopic Cholecystectomy
G. Branum (1993)
10.1097/00000658-199608000-00008
The long-term outcome of hepaticojejunostomy in the treatment of benign bile duct strictures.
A. Tocchi (1996)
10.1097/00000658-199203000-00002
Mechanisms of major biliary injury during laparoscopic cholecystectomy.
A. Davidoff (1992)
10.1016/0002-9610(94)90050-7
Characteristics of biliary tract complications during laparoscopic cholecystectomy: a multi-institutional study.
M. Woods (1994)
10.1016/S0039-6060(99)70132-7
Clinical pathway implementation improves outcomes for complex biliary surgery.
H. Pitt (1999)
10.1016/S0002-9610(05)80783-4
Spectrum and management of major complications of laparoscopic cholecystectomy.
A. Ress (1993)
10.1016/S0039-6109(16)45289-8
Postoperative bile duct strictures.
K. Lillemoe (1990)



This paper is referenced by
10.1097/00000658-200304000-00005
To err is human, but should we expect more from a surgeon?
K. Lillemoe (2003)
10.1016/J.MPSUR.2010.01.010
Current management of iatrogenic bile duct injuries
Carlo Pulitanò (2010)
10.1590/S0100-69912010000600006
A influência do tempo de referencia no tratamento das lesões iatrogênicas da via biliar
Fernando de Barros (2010)
Biliary Complications Post Laparoscopic Cholecystectomy : Mechanism , Preventive Measures , and Approach toManagement : A Review
Norman Oneil Machado (2014)
10.1016/j.surg.2008.03.017
Real-time intraoperative assessment of the extrahepatic bile ducts in rats and pigs using invisible near-infrared fluorescent light.
E. Tanaka (2008)
10.1016/S1499-3872(17)60026-2
Hepatobiliary & Pancreatic Diseases International.
Kapoor Vk (2017)
10.1001/JAMA.289.13.1691
Routine vs selective intraoperative cholangiography during cholecystectomy.
M. Talamini (2003)
10.1097/01.SLA.0000060680.92690.E9
Causes and Prevention of Laparoscopic Bile Duct Injuries: Analysis of 252 Cases From a Human Factors and Cognitive Psychology Perspective
L. Way (2003)
10.1046/J.1365-2168.2002.02182.X
Long‐term outcome of hepaticojejunostomy with routine access loop formation following iatrogenic bile duct injury
R. Al-Ghnaniem (2002)
10.1016/B978-1-4377-1454-8.00110-7
Chapter 42B – Biliary fistulae
Carlos U. Corvera (2012)
10.1590/S0102-86502014001700003
Modified "Roux en Y" hepaticojejunostomy to permit transgastric endoscopic access.
André de Moricz (2014)
10.1016/j.dld.2017.01.170
Endoscopic rendez-vous reconstruction of complete biliary obstruction.
Bruno Neu (2017)
10.1016/j.amsu.2018.11.006
Surgical management of laparoscopic cholecystectomy (LC) related major bile duct injuries; predictors of short-and long-term outcomes in a tertiary Egyptian center- a retrospective cohort study
Emad Hamdy Gad (2018)
Use of retrograde intra-operative cholangiogram for detection and minimisation of common bile duct injury
L. Marshall (2009)
Estenosis biliares benignas. Tratamiento quirúrgico
José Luis Valderrama-Landaeta (2005)
[Reconstruction of major bile duct injuries after laparoscopic cholecystectomy].
K. Holte (2010)
Infundibular laparoscopic cholecystectomy method requires a quality renewal: 18 year 13 274 cholecystectomy analysis with assessment of 45 iatrogenic bile duct injuries
R. Lunevičius (2015)
Therapeutic value and outcome of gastric access loops created during hepaticojejunostomy for iatrogenic bile duct injuries
Sri Santhi Lanka (2010)
10.1016/j.giec.2012.04.023
Treatment of common bile duct injuries after surgery.
Claudio Bustos Navarrete (2012)
DELAYED REPAIR OF MAJOR BILE DUCT INJURIES - A TERTIARY CARE HOSPITAL EXPERIENCE
Muhammad Owais Aslam (2014)
10.1590/0102-6720201600020012
BIODEGRADABLE BILIARY STENTS: A NEW APPROACH FOR THE MANAGEMENT OF HEPATICOJEJUNOSTOMY STRICTURES FOLLOWING BILE DUCT INJURY. PROSPECTIVE STUDY
Mariano Eduardo Giménez (2016)
10.1016/j.ijscr.2018.02.043
A novel combined interventional radiologic and hepatobiliary surgical approach to a complex traumatic hilar biliary stricture☆
Rachel NeMoyer (2018)
10.21037/jovs.2017.03.06
Management for a complicated biliary stricture after iatrogenic bile duct injury.
Tao Suo (2017)
10.1053/JLTS.2002.35557
Management and outcome of major bile duct injuries after laparoscopic cholecystectomy: from therapeutic endoscopy to liver transplantation.
A. Nordin (2002)
10.1007/s00534-010-0315-z
Endoscopic management of laparoscopic cholecystectomy-associated bile duct injuries
Tamaki Ichiya (2011)
10.1016/J.SURG.2003.11.018
Management and outcome of patients with combined bile duct and hepatic arterial injuries after laparoscopic cholecystectomy.
S. Schmidt (2004)
10.1097/00129689-200310000-00014
Hepatic Duct Confluence Injury in Blunt Abdominal Trauma: Case Report and Synopsis on Management
M. Nathan (2003)
10.1016/j.surg.2012.06.028
Treatment of failed Roux-en-Y hepaticojejunostomy after post-cholecystectomy bile ducts injuries.
Amine Benkabbou (2013)
10.3748/wjg.v21.i7.2102
Liver resection for the treatment of post-cholecystectomy biliary stricture with vascular injury.
Marcos V Perini (2015)
10.1016/j.jamcollsurg.2017.12.023
Diminished Survival in Patients with Bile Leak and Ductal Injury: Management Strategy and Outcomes.
Z. V. Fong (2018)
10.1007/s10620-014-3255-7
Analysis of Risk Factors for Postoperative Complication of Repair of Bile Duct Injury After Laparoscopic Cholecystectomy
Qiang Huang (2014)
10.1159/000052001
Reoperative Surgery for Postcholecystectomy Bile Duct Injuries
A. Chaudhary (2002)
See more
Semantic Scholar Logo Some data provided by SemanticScholar