Long-term results of surgical repair of bile duct injuries following laparoscopic cholecystectomy

Bile Duct Injury during Cholecystectomy Requiring Delayed Liver Transplantation: A Case Report and Literature Review

“…The data on the long-term outcome of these patients are sparse. Although some centers report successful results in almost all patients with a combination of surgery and radiological techniques (Lillemoe et al 1997;Johnson et al 2000), biliary cirrhosis cannot always be prevented (Nordin et al 2001). It must be noted that the patient reported in this paper had to undergo transplantation 15 years after cholecystectomy.…”

“…The incidence of major bile duct injury has remained constant at the rate of 0.1-0.3% during open surgery, and 0.3-1% during laparoscopic surgery. Although some centers report successful results in almost all patients with a combination of surgery and radiological techniques (Lillemoe et al 1997;Johnson et al 2000), biliary cirrhosis cannot always be prevented (Nordin et al 2001). An associated vascular injury may occur in 10-30% of these patients, and although it generally remains "silent," in rare cases it may lead to extensive hepatic necrosis (Bacha et al 1994;Erkan et al 2001;Nordin et al 2001).…”

Biliary tract injuries after lap cholecystectomy—types, surgical intervention and timing

“…There should be a postoperative follow-up, and a prolonged treatment protocol is necessary. Furthermore it has been reported that the incidence of MBDI after LC is higher than that after open cholecystectomy (43). There are risk factors such as; dangerous anatomy, dangerous pathology, and dangerous surgery (44).…”

“…It is also proposed that upon follow-up cholangiograms should be obtained at 1 month and 3 months postoperatively, if necessary, more often or earlier. Moreover, catheters should be removed between 3 and 6 months postoperatively, this depends on the level of the injury, as well as the appearance of the cholangiogram (43). Recurrent biliary stricture has been observed in 10-30% of cases, after open cholecystectomy (48).…”

Реконструктивная Хирургия На Внепеченочных Желчных Протоках

“…Однако выполнение реконструктивных вмешательств даже в специализированных центрах гепатобилиарной хирургии сопровождается значительным числом ранних послеоперационных осложнений, достигающих 42,9%, послеоперационной летальностью на уровне 1,7 -5,6%, а в 20 -30% случаев рубцеванием билиодигестивного соустья. Развитие на фоне рубцовой непроходимости желчных протоков и билиодигестивных анастомозов механической желтухи, хронического холангита приводит к формированию фиброзных изменений, развитию вторичного билиарного цирроза печени и портальной гипертензии [2,7,9].…”