Online citations, reference lists, and bibliographies.

Reoperative Surgery For Postcholecystectomy Bile Duct Injuries

A. Chaudhary, Abhijit Chandra, S. Negi, A. Sachdev
Published 2002 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
Background: Surgical repair for a postcholecystectomy bile duct injury can be complicated by the development of an anastomotic stricture which necessitates re-intervention. The authors reviewed their experience with patients requiring re-operation after unsuccessful surgical repair of the bile duct injury, to analyze the possible causes of the failure of the operative procedure and the long-term outcome following revisional surgery. Methods: Retrospective analysis of the records of 41 patients referred to a tertiary care center for the management of recurrent stricture following surgical repair performed for a postcholecystectomy bile duct injury. Results: Before referral, 69 operative procedures had been performed on these 41 patients. Factors likely to be associated with increased chances of failure of the biliary reconstructive procedures included presentation with cholangitis after the biliary injury, no cholangiographic study before the surgical repair and surgical intervention within 3 weeks of the injury. Thirty-seven (90%) patients were found to have strictures at or above the level of confluence of right and left hepatic ducts, while at the time of the index repair only 12 (29%) patients had an injury at that level. Revisional surgery in all the patients was a Roux-en-Y hepaticojejunostomy. One patient died, 2 patients with multiple previous operations developed recurrence and needed intervention again. Over a mean follow-up period of 4.2 years, 90% patients had a satisfactory outcome. Conclusion: Development of recurrent stricture following surgical repair of a postcholecystectomy biliary injury can be related to the technique and timing of the surgical procedure, the complication may therefore be avoidable in some patients. In experienced hands the results of revisional surgery are good but are adversely affected as the number of previous repairs increases.
This paper references
10.1046/J.1365-2168.1999.01029.X
Value of magnetic resonance cholangiopancreatography in demonstrating major bile duct injuries following laparoscopic cholecystectomy
T. Yeh (1999)
come of 49 repairs of bile duct injuries after laparoscopic cholecystectomy
Schol FPG (1995)
Kitwin MS: Early management of operative injuries of the extrahepatic biliary tract
W Browder (1987)
10.1097/00000658-199705000-00003
Major bile duct injuries during laparoscopic cholecystectomy. Follow-up after combined surgical and radiologic management.
K. Lillemoe (1997)
Immediate repair of cholecystectomy injuries: More harm than good
WR Jarnagin (1997)
10.1016/0002-9610(82)90595-5
Factors influencing outcome in patients with postoperative biliary strictures.
H. Pitt (1982)
10.1016/S0039-6109(16)40145-3
Prevention and repair of strictures of the extrahepatic bile ducts.
K. Warren (1973)
10.1016/0002-9610(84)90054-0
Recurrent biliary stricture. Patterns of recurrence and outcome of surgical therapy.
C. Pellegrini (1984)
10.1007/s004649900315
Bile duct injuries during laparoscopic cholecystectomy
D. Olsen (1997)
Effects of biliary endoprosthesis on the subsequent operation on the biliary tract
TM Karsten (1994)
10.1046/J.1365-2168.2000.01446.X
Changing referral pattern of biliary injuries sustained during laparoscopic cholecystectomy
S. R. Shah (2000)
10.1016/S0002-9610(97)00278-X
Percutaneous dilatation of biliary strictures through the afferent limb of a modified Roux-en-Y choledochojejunostomy or hepaticojejunostomy.
D. Hutson (1998)
10.5555/uri:pii:0039606090902779
High or low hepaticojejunostomy for bile duct strictures?
J. Terblanche (1990)
10.1007/BF00295923
Outcome of 49 repairs of bile duct injuries after laparoscopic cholecystectomy
F. Schol (2004)
10.1016/S0039-6109(16)45336-3
Reoperation for biliary strictures.
J. Roslyn (1991)
10.1002/bjs.1800810515
Repeated reconstruction for recurrent benign bile duct stricture
I. Kozicki (1994)
10.1001/ARCHSURG.134.6.604
Long-term results of biliary reconstruction after laparoscopic bile duct injuries.
M. Murr (1999)
Bile duct injuries during laparoscopic cholecystectomy
Gong Lian-sheng (2004)
10.1055/s-2007-1018353
Endoscopic treatment of postoperative biliary strictures.
K. Huibregtse (1986)
10.1001/ARCHSURG.133.2.176
Management and outcome of patients with combined bile duct and hepatic artery injuries.
N. Gupta (1998)
10.1097/00000658-198706000-00006
Early management of operative injuries of the extrahepatic biliary tract.
I. W. Browder (1987)
10.1001/archsurg.1995.01430060035007
Postcholecystectomy bile duct strictures. Management and outcome in 130 patients.
W. Chapman (1995)
10.1097/00000658-199303000-00004
Benign Biliary Strictures Surgery or Endoscopy?
P. Davids (1993)
Morphologic changes of extrahepatic bile ducts during obstruction and subsequent decompression by endoprosthesis.
T. Karsten (1992)
10.1097/00000658-200009000-00015
Postoperative Bile Duct Strictures: Management and Outcome in the 1990s
K. Lillemoe (2000)
10.1002/bjs.1800711110
Benign bile duct stricture following cholecystectomy: Critical factors in management
L. Blumgart (1984)
Percuta - neous dilatation of biliary strictures through the efferent limb of a modified Roux - enY cho - ledochojejunostomy or hepaticojejunostomy
DG Hutson (1998)
Long term results of Roux-en-Y hepaticojejunostomy.
H. Bismuth (1978)
10.1067/MSY.2000.108422
Long-term results of surgical repair of bile duct injuries following laparoscopic cholecystectomy.
S. Johnson (2000)
Postoperative strictures of the bile duct; in Blumgart LH (ed): The Biliary Tract
H Bismuth (1982)



This paper is referenced by
10.1007/s11605-009-0841-7
Hepaticojejunostomy vs. End-to-end Biliary Reconstructions in the Treatment of Iatrogenic Bile Duct Injuries
B. Jabłońska (2009)
10.1159/000097951
Vascular Injuries in Laparoscopic Cholecystectomy: An Underestimated Problem
G. Tzovaras (2006)
10.1016/J.MPSUR.2011.09.007
Contemporary management of bile duct injuries
Rowan W. Parks (2011)
10.1007/s12262-013-0915-3
Bile Duct Injury—from Injury to Repair: an Analysis of Management and Outcome
P. Mishra (2013)
10.1007/978-3-319-63884-3_23
Identification and Management of Bile Duct Injuries and Post-Operative Strictures
Arthur J. Richardson (2018)
10.1007/s00464-009-0591-3
Endoscopic retrograde cholangiography by double balloon enteroscopy in patients with Roux-en-Y hepaticojejunostomy
E. Parlak (2009)
10.1007/978-981-15-1236-0_16
Follow-Up After Repair of Bile Duct Injury
Vinay Kumar Kapoor (2020)
10.1007/s00104-004-0976-8
Das Inspektionsstoma nach komplexen Rekonstruktionen an den zentralen Gallengängen
C. Knorr (2004)
10.1007/s12664-016-0636-1
Percutaneous endoscopic management of intrahepatic stones in patients with altered biliary anatomy: A case series
Suryaprakash Bhandari (2016)
10.1001/JAMA.290.16.2168
Bile duct injury during cholecystectomy and survival in medicare beneficiaries.
D. Flum (2003)
10.3748/WJG.15.2283
Repair of a mal-repaired biliary injury: a case report.
A. Aldumour (2009)
Reconstrucción de la vía biliar, secundaria a lesiones mayores iatrogénicas Reconstruction of the biliary tract, secondary to iatrogenic major injuries
J. Elorza (2015)
10.1016/j.jvir.2008.05.019
Long-term outcome of percutaneous transhepatic therapy for benign bilioenteric anastomotic strictures.
L. Glas (2008)
Management and mid- to long-term results of early referred bile duct injuries during laparoscopic cholecystectomy.
E. Ozturk (2009)
10.1016/J.CIRGEN.2015.05.005
Experiencia en reconstrucción de la vía biliar, secundaria a lesiones mayores iatrogénicas
Jorge Elorza Bonifaz Calvo (2015)
10.1161/STROKEAHA.106.473066
Carotid Intraplaque Hemorrhage Predicts Recurrent Symptoms in Patients With High-Grade Carotid Stenosis
N. Altaf (2007)
10.1055/s-0030-1255957
Endoscopic treatment of biliary disorders in patients with Roux-en-Y hepaticojejunostomy via a permanent access loop.
Erkan Parlak (2011)
The Challenging Dilemma of Post Cholecystectomy Problems : Time to be settled . Tactics of Management with 15 Years ’ Experience in a Major Referral Center
A. A. Redwan (2017)
10.4314/sjms.v2i3.50402
Latrogenic major bile duct injuries injury
Mam Ibnouf (2008)
10.1055/S-0036-1586301
Gallengangsrekonstruktion mittels Umbilikalvene nach laparoskopischer Cholezystektomie
H. Rudolph (2016)
10.1371/journal.pone.0046478
Percutaneous Transhepatic Balloon Dilation of Biliary-Enteric Anastomotic Strictures after Surgical Repair of Iatrogenic Bile Duct Injuries
Andrew Y. Lee (2012)
10.2478/V10035-008-0040-3
Surgical Treatment of Iatrogenic Biliary Injuries - Early Complications
B. Jabłońska (2008)
10.1007/s11605-010-1241-8
Factors Predicting Failure Following High Bilio-enteric Anastomosis for Post-cholecystectomy Benign Biliary Strictures
B. Pottakkat (2010)
10.4172/2161-069X.1000167
Surgery vs. Endoscopy Competitive or Complementary Tools for Management of Post Cholecystectomy Problems 10 Years' Experience in Major Referral Center
Alaa Ahmad Redwan (2014)
10.5772/30733
Recontructive Biliary Surgery in the Treatment of Iatrogenic Bile Duct Injuries
Beata Jabłońska (2012)
Management of bile duct injuries secondary to laparoscopic and open cholecystectomy. The experience of a single surgical department.
Florin Mihăileanu (2012)
10.1016/j.ijsu.2015.05.004
Long-term follow-up of 120 patients after hepaticojejunostomy for treatment of post-cholecystectomy bile duct injuries: A retrospective cohort study.
A. Abdelrafee (2015)
10.1007/s10353-010-0524-3
Hepatic resection for patients with cholecystectomy related complex bile duct injury
Sven Christian Schmidt (2010)
10.1007/978-3-319-63884-3
The Management of Gallstone Disease
Michael R Cox (2018)
10.1590/S0100-69912005000200005
Lesão iatrogênica de vias biliares
G. Aguiar (2005)
Treatment of post-cholecystectomy bile duct strictures--push or sidestep?
A. Chaudhary (2006)
10.1089/lap.2011.0520
Complex post-cholecystectomy biliary injuries: management with 10 years' experience in a major referral center.
Alaa Ahmed Redwan (2012)
See more
Semantic Scholar Logo Some data provided by SemanticScholar