Impact of bile duct injury after laparoscopic cholecystectomy on quality of life: a longitudinal study after multidisciplinary treatment

Abstract

BDI has a detrimental effect on long-term QoL. QoL in patients with BDI is poor and does not improve during follow-up. The outcome of a malpractice litigation claim is associated with QoL.

Quality-of-life after bile duct injury: intraoperative detection is crucial. A national case-control study

“…11,13,15 Moreover analysis of nonresponders showed no differences with respect to the severity of BDI or matching criteria such as age, ASA-score, or aggravating conditions such as complicated gallstone disease and emergency surgery.…”

“…21 De Reuver et al reported only 19% of injuries detected intraoperatively, and Fischer et al reported 30% of injuries detected intraoperatively with 100% failure (5/5) when repair was performed intraoperatively. 9,15 This study presents a different population, an unselected national cohort of bile duct injuries were minor injuries less than five mm dominate. In this study, 83% (88/106) of BDIs were repaired in conjunction with cholecystectomy, and the outcome in terms of QoL was comparable to patients not suffering the complication of iatrogenic injury to the bile ducts.…”

“…[7][8][9] Outcome in terms of quality-of-life (QoL) after BDI is less frequently reported in the literature, and the results in publications have been conflicting. [10][11][12][13][14][15][16] The SF-36 (36-item Short Form health survey) questionnaire is a widely used and validated QoL instrument that has been used for evaluating QoL after BDI. 10,12,13,[15][16][17] These six QoL-studies were from tertiary referral centres and included major injuries and failures after primary repair, with a mix of "in-house" injuries and referrals.…”

“…12,16 Although functional outcome was most often reported as excellent, both mental and physical QoL may be impaired several years after repair. 10,11,[13][14][15] A meta-analysis from Landman et al in 2013 stated that "there is a long-term detrimental effect of BDI on mental health-related QoL". 18 GallRiks is a national quality register in Sweden for all forms of gallstone surgery including open and laparoscopic cholecystectomy as well as endoscopic interventions of the bile ducts.…”

Intraoperative cholangiography in the laparoscopic cholecystectomy era: why are we still debating?

“…In extreme cases, a liver transplant may be required as a direct result of BDI complications [41][42][43]. As well as these physical complications, BDI also has been shown to impact a patient's quality of life and life expectancy significantly, often even after successful repair [44,45]. The poor outcome after BDI often is determined by the severity and level of the injury during LC.…”