Revision Roux-en-y hepaticojejunostomy for a post-cholecystectomy complex vasculobiliary injury with complete proper hepatic artery occlusion: A case report and literature review

Desai, Gunjan; Pande, Prasad; Narkhede, Rajvilas; Kulkarni, Dattaprasanna

doi:10.1016/j.ijscr.2019.03.032

Cited by 4 publications

(1 citation statement)

References 16 publications

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“…In rare cases, massive bleed can occur due to injury to abdominal aorta, vena cava, iliac vessels, hepatic artery or portal vein. 17 In our study, 72% patients had less than 50ml blood loss, 22% patients had 51 to 150 ml blood loss and 6% patients had more than 150ml blood loss. There was no major vascular injury in our study.…”

Section: Discussionmentioning

confidence: 42%

An Audit of Laparoscopic Cholecystectomy; at a Tertiary Care Hospital in Islamabad

Ullah

2022

J Islamabad Med Dental Coll

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Background: Laparoscopic Cholecystectomy is a commonly performed surgery and is a gold standard for the treatment of cholelithiasis as it has fewer side effects. This study was conducted to determine indications and complications of this surgery at a tertiary care hospital in Islamabad. Methodology: This retrospective study was conducted in the department of Surgery, Maroof International Hospital from March 2017 to March 2019. A total of 250 patients who underwent laparoscopic cholecystectomy were included through consecutive sampling technique. The data regarding age, gender, mode of presentation, types of presentation, per operative findings, operative complications and duration of hospital stay was collected from patients’ medical record. Statistical Package for Social Sciences SPSS version 23 was used to analyze data. Results: Mean age of the participants was 46.24 ± 14.13 years. Female to male ratio was 2.73:1. Almost 38.4% patients had chronic cholecystitis, 35.2% had symptomatic gallstone disease, 24.8% had acute cholecystitis and 1.6% had gallbladder polyps. No major vascular or common bile duct injury were noted. 27.2% patients had per operative gallbladder perforation. Stone spillage occurred in 8.8% patients with retrieval in all of them. 75.2% patients were discharged on day 1. Per operatively, 98.4% patients had cholelithiasis, 59.6% had adhesions, 9.6% had mucocele, 1.6% had empyema and 0.8% patients had collections. Conclusion: Laparoscopic cholecystectomy is a safe procedure in all types of gallstone disease presentations with low complication rate. Key words: Cholelithiasis, Gallstones, Laparoscopic Cholecystectomy, Per-operative complications

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Section: Discussionmentioning

confidence: 42%

An Audit of Laparoscopic Cholecystectomy; at a Tertiary Care Hospital in Islamabad

Ullah

2022

J Islamabad Med Dental Coll

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Bile Duct Injuries after Cholecystectomy: An Individual Patient Data Systematic Review

Vincenzi,

Mocchegiani,

Nicolini

et al. 2024

JCM

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Background: Post-cholecystectomy bile duct injuries (BDIs) represent a challenging complication, with negative impacts on clinical outcomes. Several surgical and endoscopic/interventional radiologist (IR) approaches have been proposed to manage these damages, though with high failure rates. This individual patient data (IPD) systematic review analyzes the potential risk factors for failure after treatment interventions for BDIs, both surgical and endoscopic/IR. Methods: An extensive literature search was conducted on MEDLINE and Scopus for relevant articles published in English on the management of BDIs after cholecystectomy, between 1 January 2010 and 31 December 2023. Our series of BDIs was included. BDIs were always categorized according to the Strasberg’s classification. The composite primary endpoints evaluated were the failure of treatment interventions, defined as patient death or the requirement of any other procedure, whatever surgical and/or endoscopic/IR, after the primary treatment. Results: A total of 342 cases were retrieved from our literature analysis, including our series of 19 patients. Among these, three groups were identified: “upfront surgery”, “upfront endoscopy and/or IR” and “no upfront treatment”, consisting of 224, 109 and 9 patients, respectively. After eliminating the third group, treatment intervention failure was observed overall in 34.2% (114/333) of patients, of whom 80.7% (92/114) and 19.3% (22/114) in the “upfront surgery” and in the “upfront endoscopy/IR” groups, respectively. At multivariable analysis, injury type D and E, and repair in a non-specialized center represented independent predictors of treatment failure in both groups, whereas laparoscopic cholecystectomy (LC) converted to open and immediate attempt of surgical repair exclusively in the first group. Conclusions: Significant treatment failure rates are responsible for remarkable negative effects on immediate and longer-term clinical outcomes of post-cholecystectomy BDIs. Understanding the important risk factors for this outcome may better guide the most appropriate therapeutical approach and improve clinical decisions in case this serious complication occurs.

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Report of a Case Requiring Right Hepatectomy for Bile Duct Injury Complicating Right Hepatic Artery Injury Caused during Laparoscopic Cholecystectomy

Okuyama

Araki

Yamanaka

et al. 2020

JJCS

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Revision Roux-en-y hepaticojejunostomy for a post-cholecystectomy complex vasculobiliary injury with complete proper hepatic artery occlusion: A case report and literature review

Cited by 4 publications

References 16 publications

An Audit of Laparoscopic Cholecystectomy; at a Tertiary Care Hospital in Islamabad

An Audit of Laparoscopic Cholecystectomy; at a Tertiary Care Hospital in Islamabad

Bile Duct Injuries after Cholecystectomy: An Individual Patient Data Systematic Review

Report of a Case Requiring Right Hepatectomy for Bile Duct Injury Complicating Right Hepatic Artery Injury Caused during Laparoscopic Cholecystectomy

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