Bile Duct Injuries during Laparoscopic Cholecystectomy: Management and Outcome

Tsalis, Konstantinos; Zacharakis, Emmanouil; Vasiliadis, Konstantinos; Kalfadis, Stavros; Vergos, Orestis; Christoforidis, E.; Betsis, D.

doi:10.1177/000313480507101216

Cited by 11 publications

(4 citation statements)

References 26 publications

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“…Full texts were thus evaluated, including the relative references of each study. Finally, a total of 31 reports were included in the analysis . The PRISMA diagram is given in Figure .…”

Section: Resultsmentioning

confidence: 99%

Minimally invasive surgery for the management of major bile duct injury due to cholecystectomy

Guerra

Coletta

Gavioli

et al. 2020

J Hepato Biliary Pancreat

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Background In recent years there has been a growing interest in the application of minimally invasive surgery in the management of cholecystectomy‐related injury to the biliary tract. The aim of this analysis was to identify and combine the available evidence on the argument, with particular reference to major injuries to the main bile duct requiring biliodigestive anastomosis. Methods The PubMed/MEDLINE, Embase, and Web of Science electronic databases were queried through May 2019. Inclusion criteria considered all studies reporting detailed data about patients with bile duct injury following cholecystectomy receiving minimally invasive (both laparoscopic and robotic) surgical repair. Clinical outcomes data were pooled and analyzed. Results A total of 31 studies reporting on the outcomes of 218 patients were eventually included in the analysis, whereby 148 patients with type D or E injury. Of these, there were 31 patients (21%) receiving direct bile duct repair and 117 patients (79%) undergoing bilioenteric reconstruction. Among patients with major bile duct injury, postoperative morbidity was 24%, being 12% the incidence of major complications and 6% the rate of patients requiring subsequent, further surgery. Conclusions The absence of high‐level evidences precludes the possibility to draw definitive conclusions. However, the available data derived from a growing number of centers demonstrate that minimally invasive surgery may offer its well‐known advantages on postoperative outcomes also in the setting of severe iatrogenic injury to the bile ducts.

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“…Full texts were thus evaluated, including the relative references of each study. Finally, a total of 31 reports were included in the analysis . The PRISMA diagram is given in Figure .…”

Section: Resultsmentioning

confidence: 99%

Minimally invasive surgery for the management of major bile duct injury due to cholecystectomy

Guerra

Coletta

Gavioli

et al. 2020

J Hepato Biliary Pancreat

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“…Other authors have reported the successful laparoscopic management of bile leak from a duct of Luschka. 24 Yau and colleagues 25 have successfully managed complications following laparoscopic antireflux surgery in 18 of 23 patients for whom this approach was attempted. Included in this series was control of bleeding from a short gastric vessel with a laparoscopically placed clip.…”

Section: Bleeding and Anastomotic Leakmentioning

confidence: 99%

Reoperation following Minimally Invasive Surgery: Are the “Rules” Different?

McCormick

2006

Clinics in Colon and Rectal Surgery

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This article discusses various indications for reoperation and how employing laparoscopy at primary operation might affect the incidence, presentation, and treatment of common complications. The abdomen is likely to be far less hostile after laparoscopic surgery than after laparotomy. Adhesions to the anterior abdominal wall are minimal or absent. As a result, relaparoscopy is a reasonable diagnostic and often successful treatment modality in patients suspected of having intra-abdominal complications following laparoscopic operation. Laparoscopic success in dealing with acute bowel obstruction after laparoscopic surgery is related to the paucity of adhesions and unique mechanisms of obstruction that are localized and amenable to minimal dissection. The same mechanisms are also responsible for the increased risk of bowel necrosis associated with bowel obstruction after laparoscopic surgery. Limited experience with successful laparoscopic management of bleeding and anastomotic leak has been reported with the caveat that if the bleeding or contamination is excessive, cannot be identified and controlled quickly, or is unresponsive to a reasonable and brief effort using laparoscopy, a prompt laparotomy is indicated. Based on the current literature, it is reasonable to conclude that laparoscopic approaches to primary Crohn's disease and relaparoscopy for recurrence are an appropriate (perhaps the most appropriate) management strategy. Also, laparoscopic restorative proctocolectomy and ileal pouch-anal anastomosis after laparoscopic subtotal colectomy is the preferred treatment for toxic ulcerative colitis. We conclude that laparoscopic reoperative surgery is feasible for the treatment of many complications following laparoscopic major abdominal surgery and bowel resection.

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“…Multidisciplinary perioperative care from a specialist facility run by a skilled hepatopancreatobiliary (HPB) surgeon is one of them. [14][15][16] Carolinas Medical Facility (CMC) acts as the primary hepatopancreaticobiliary (HPB) referral center for a 48-hospital healthcare system covering four states in the southern United States. The purpose of this research is to review CMC's history of CBDI repairs and to compare the results of these procedures in patients who had either immediate or delayed CBDI repairs.…”

Section: Introductionmentioning

confidence: 99%

Comparing early and delayed repair of common bile duct injury to identify clinical drivers of outcome and morbidity

Yogesh

Hansdah

2022

ijhs

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Background: When it comes to fixing a common bile duct injury (CBDI), center and surgeon experience matter. There is a lack of information on the factors that influence morbidity in relation to repair time in this group. Methods: Patients with CBDI who had surgery at a single facility were retrospectively examined from January 2020 to June 2021. Patient outcomes were compared between those who had surgery soon after injury (before 48 hours) and those who waited longer. The likelihood of readmission was predicted for individuals undergoing delayed repair. Results: In all, 61 people underwent biliary reconstruction surgery. Patient demographics, damage categorization subtype, incidence of vasculobiliar injury (VBI), hospital length of stay, 30-day readmission rate, and 90-day death rate were not significantly different between the early repair and delayed repair groups.Delaying repairs in patients with VBI or those who have had several endoscopic operations before their repairs enhance their risk of readmission. Using these factors, a predictive model was built. Conclusion: The results for patients receiving early or delayed CBDI repair are comparable when the care is provided by a tertiary hepatopancreatobiliary facility.

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Bile Duct Injuries during Laparoscopic Cholecystectomy: Management and Outcome

Cited by 11 publications

References 26 publications

Minimally invasive surgery for the management of major bile duct injury due to cholecystectomy

Minimally invasive surgery for the management of major bile duct injury due to cholecystectomy

Reoperation following Minimally Invasive Surgery: Are the “Rules” Different?

Comparing early and delayed repair of common bile duct injury to identify clinical drivers of outcome and morbidity

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