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

Öncel, Didem; Özden, İlgin; Bilge, Orhan; Tekant, Yaman; Alper, Aydın; Emre, Ali; Arıoğul, Orhan

doi:10.1620/tjem.209.355

Cited by 17 publications

(14 citation statements)

References 17 publications

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“…Some 38 patients were included: 16 after open cholecystectomy and 22 after laparoscopic cholecystectomy. Table shows the prevalence of vascular injuries, indications for LT and mortality.…”

Section: Resultsmentioning

confidence: 99%

Liver transplantation for bile duct injury after open and laparoscopic cholecystectomy

Parrilla

Robles

Varó

et al. 2014

Journal of British Surgery

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BackgroundBile duct injury (BDI) after cholecystectomy is a serious complication. In a small subset of patients with BDI, failure of surgical or non-surgical management might lead to acute or chronic liver failure. The aim of this study was to review the indications and outcome of liver transplantation (LT) for BDI after open and laparoscopic cholecystectomy.MethodsPatients with BDI after cholecystectomy who were on the waiting list for LT between January 1987 and December 2010 were identified from LT centres in Spain. A standardized questionnaire was sent to each unit for extraction of data on diagnosis, previous treatments, indication and outcome of LT for BDI.ResultsSome 27 patients with BDI after cholecystectomy in whom surgical and non-surgical management for BDI failed were scheduled for LT over the 24-year interval. Emergency LT for acute liver failure was indicated in seven patients, all after laparoscopic cholecystectomy. Two patients died while on the waiting list and only one patient survived more than 30 days after LT. Elective LT for secondary biliary cirrhosis after a failed hepaticojejunostomy was performed in 13 patients after open and seven after laparoscopic cholecystectomy. One patient from the elective transplantation group died within 30 days of LT. The estimated 5-year overall survival rate was 68 per cent.ConclusionEmergency LT for acute liver failure was more common in patients with BDI after laparoscopic cholecystectomy, and associated with a poor outcome.

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“…Some 38 patients were included: 16 after open cholecystectomy and 22 after laparoscopic cholecystectomy. Table shows the prevalence of vascular injuries, indications for LT and mortality.…”

Section: Resultsmentioning

confidence: 99%

Liver transplantation for bile duct injury after open and laparoscopic cholecystectomy

Parrilla

Robles

Varó

et al. 2014

Journal of British Surgery

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“…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]. 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].…”

mentioning

confidence: 99%

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

et al. 2012

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Laparoscopic cholecystectomy is now one of the most frequently performed abdominal surgical procedures in the world. The most common major complication is bile duct injury, which can have catastrophic repercussions for patients and it has been suggested that intraoperative cholangiography may reduce the rate of bile duct injury. Whether this procedure should be performed routinely is still an active subject of debate. We discuss the available evidence and likely implications for the future.

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“…In total and avoiding duplicate reporting, 45 patients (including this series) with LT for BDI in an acute and chronic setting are reported in the English literature (Table 2). While there are few case series reporting LT in the management of acute and chronic biliary lesions, 1–3,14–16,18,21–25 progress in the safety of liver surgery and minimally invasive methods has led to this procedure being considered in the management of BDI.…”

Section: Discussionmentioning

confidence: 99%

“…There are few publications regarding the role of LT in the management of BDI. Only a few reports have focused on the specific indication for patients presenting with acute liver failure (ALF) as a result of an associated vascular lesion, 21–24 and case series reporting LT for patients with liver cirrhosis after BDI are scarce in the literature 1,3,14–16,18,25,26 . This Argentinean study represents the first case series reporting national data for the application of LT as a treatment of iatrogenic BDI.…”

Section: Introductionmentioning

confidence: 99%

Experience using liver transplantation for the treatment of severe bile duct injuries over 20 years in Argentina: results from a National Survey

Ardiles

McCormack

Quiñonez

et al. 2011

HPB

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

Cited by 17 publications

References 17 publications

Liver transplantation for bile duct injury after open and laparoscopic cholecystectomy

Liver transplantation for bile duct injury after open and laparoscopic cholecystectomy

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

Experience using liver transplantation for the treatment of severe bile duct injuries over 20 years in Argentina: results from a National Survey

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