Surgical Management of Bile Duct Injuries Sustained During Laparoscopic Cholecystectomy

Abstract

This series represents the largest single institution experience reporting the perioperative management of BDI following LC. Although perioperative complications are frequent, nearly all can be managed nonoperatively. Early referral to a tertiary care center with experienced hepatobiliary surgeons and skilled interventional radiologists would appear to be necessary to assure optimal results.

Predictors of outcome after reconstructive hepaticojejunostomy for post cholecystectomy bile duct injuries

“…However many authors have failed to identify early repair as an individual risk factor. 12,14,15 In this series, early repair within 3 weeks was associated with the lowest incidence of major complications, as reported in some other series also. 16 Patients with late repairs and repeat surgeries were associated with significantly higher incidence of major complications though timing of repair was not an independent predictor of outcome.…”

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

“…BDI patients comprise a diverse and complex group, and outcome after repair at tertiary referral centres is frequently reported to be favourable. [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.…”

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

“…Several authors have reported alarming outcomes for BDI repair, and in some series, mortality and morbidity for biliodigestive reconstruction after injury are as high as 8.6 % and 42 % respectively [34]. Even in the event of a successful repair, subsequent morbidity is significant and the sequelae include symptomatic adhesions, recurrent cholangitis, abscess, strictures, secondary biliary cirrhosis, and chronic liver disease [3,[35][36][37][38][39][40].…”