Hepatic resection for post-cholecystectomy bile duct injuries: a literature review

Truant, Stéphanie; Boleslawski, Emmanuel; Lebuffe, Gilles; Sergent, Géraldine; Pruvot, François‐René

doi:10.1111/j.1477-2574.2010.00172.x

Cited by 51 publications

(36 citation statements)

References 47 publications

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“…In the literature, only small series of patients with short-term and long-term outcomes of PHx after BDI are described [15,16,17,18,19]. The morbidity in our series is comparable to that reported for after PHx [17,19].…”

Section: Discussionsupporting

confidence: 66%

Partial Liver Resection because of Bile Duct Injury

Booij¹,

Rutgers²,

Reuver³

et al. 2013

Dig Surg

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Aim: To analyze the outcome of partial liver resection (PHx) after bile duct injury (BDI) in patients after multimodality treatment. Methods: Between 1990 and 2012, 800 BDI patients were referred to our tertiary center. Patient characteristics and long-term outcomes were described. Results: PHx was performed in 11 patients (1.4%), mean age 48.3 years (range 29.3-83.5 years), mainly because of complex injury [Amsterdam classification type D (n = 10, 91%), Strasberg type E (n = 7, 64%) and Bismuth type IV (n = 8, 73%)]. In 7 patients (64%), concomitant vasculobiliary injury had occurred in the right hepatic artery (n = 3), proper hepatic artery (n = 1), portal vein (PV; n = 2) and the right hepatic artery and PV simultaneously (n = 1). Early PHx was performed in 2 patients and delayed resection in 9 patients after a median of 57.8 months (range 3.9-183.4 months). The in-hospital mortality was 18% (n = 2) and long-term mortality 9% (n = 1). There were no significant differences in postoperative complications between early and late resection. Conclusions: Indications for PHx after BDI in patients referred to a tertiary center are relatively low (1.4%) and generally apply to vasculobiliary injury. The implications for treatment are important, so it is worthwhile to classify vascular injuries in the management of BDI.

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Section: Discussionsupporting

confidence: 66%

Partial Liver Resection because of Bile Duct Injury

Booij¹,

Rutgers²,

Reuver³

et al. 2013

Dig Surg

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“…6 According to Truant et al, proximal location of biliary injuries with disruption of hepatic ductal confluence and/ or concurrent arterial injuries are major indications for hepatectomy. 9 This was also the case in our patient who had sustained injury in the region of hepatic ductal confluence. However, uncommon though it may be, hepatectomy can lead to good long term results in 72%-100% of patients; results which are comparable to other procedures like hepaticojejunostomy.…”

Section: Discussionmentioning

confidence: 58%

Hepatic resection for bile duct injury: A case report

Joshi

Bhandari

2017

J Chitwan Med Coll

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Background: Bile duct injury is a serious complication following both open and laparoscopic cholecystectomy. The extent of injury may be severe enough to consider biliary reconstruction procedures like Roux-en-Y hepaticojejunostomy or even hepatectomy in rare instances for the definitive management. Case: A 56 year old female, who underwent open cholecystectomy and detected bile duct injury intraoperatively. Small feeding tube was placed in the bile duct, exteriorized and patient was referred to our center for further management. Liver function tests at presentation revealed cholestatic patterns of liver derangement but the patient did not show any signs suggestive of sepsis. Endoscopic Retrograde Cholangiopancreatography revealed complete stricture of common hepatic duct. Magnetic Resonance Cholangiopancreatography revealed Bismuth type 4 bile duct stricture. The plan was to perform a bilateral hepaticojejunostomy, however, because of the very difficult anatomy and failure to identify the right duct, right hepatectomy with left duct hepaticojejunostomy was performed as a definitive management for her type IV bile duct injury. The patient had an uneventful post-operative course. Conclusion: Infrequently, liver resection remains an important therapeutic option in cases of complicated and major forms of bile duct injuries where the bilateral biliary reconstruction is not feasible.

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“…14 A literature review had reported some severe complications of bile duct injury, such as bile leakage, bile duct stricture, biliary cirrhosis, and even liver failure without other treatment options but liver transplant and combined with liver vascular injury need liver resection. 15 These complications can have serious consequences, such as decreased quality of life, a heavy economic burden, and even death. 16,17 End-to-end anastomosis of the bile duct and jejunum Roux-en-Y anastomosis have been widely used for biliary repair.…”

Section: Discussionmentioning

confidence: 99%

Untitled

Xie

Luo²,

Yang³

et al. 2018

Exp Clin Transplant

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Objectives: We investigated the effects of autologous vein transplant on bile duct injury repair, through observation of the hepatic and biliary system tissue morphology changes and animal survival after bile duct injury repair. Materials and Methods: Rabbits were equally divided into groups. Group A had cholecystectomy and common bile duct resection (length of 0.5 cm), transplant of an autologous vein (length of 0.5 cm), and stent implant. Group B had cholecystectomy and common bile duct resection (length of 1.0 cm), transplant of an autologous vein (length of 1.0 cm), and stent implant. The third group (group C) had cholecystectomy only. Results: Two rabbits died in group A and group B; all experimental animals from group C survived. Regarding liver biochemical indexes at preoperative week 1, at postoperative month 1, and at postoperative month 3, we found no significant differences (paired t test, P > .05). Liver biochemical indexes between groups were also not significantly different (P > .05). At month 3, postoperative liver pathology of experimental animals showed no significant changes and no cholestasis; biliary epithelial cells were seen in the transplant vascular. Conclusions: We conclude that autologous vein graft can effectively repair bile duct injury for a short coloboma. Key words: Bile duct resection, Biliary repair, Cholecystectomy, Experimental study IntroductionBile duct injury (BDI) is one of the most serious complications in biliary tract surgery, which can be indicated after trauma, for biliary neoplasms, and for cancer that has infiltrated into the bile duct. Severe bile duct injury can lead to repeated biliary infection, biliary stricture, biliary cirrhosis, liver failure, and even death. Laparoscopic cholecystectomy (LC) has become the standard surgical treatment for gallstone disease and is one of the most routinely performed abdominal procedures by general surgeons. Despite the known benefits of a mini-invasive surgical approach, treatment and prevention of BDI are still challenging because, in most cases, BDI represents a serious problem and can have late complications. 1 The incidence of BDI seems to have decreased compared with earlier periods. 2 However, several studies have shown a persistently higher rate and complexity of BDI when LC is performed compared with the open procedure (0.3% to 0.6% vs 0.2%). [3][4][5][6] However, the incidence of BDI in the LC were reported to be different in some retrospective studies. [7][8][9] To date, the best management strategy in terms of timing of repair remains controversial. [10][11][12] Most authors agree that intraoperative recognition of BDI with immediate repair by specialized hepatopancreatobiliary surgeons offers the best results. 13 In recent years, different materials and methods have been reported for BDI repair, with each having different effects. Our study investigated autologous vein graft for repair of BDI using an animal model. Materials and MethodsThis study was carried out in strict accordance with the recommendations...

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Hepatic resection for post-cholecystectomy bile duct injuries: a literature review

Abstract: Hepatectomies were performed mainly in patients showing complex concurrent Strasberg E4 or E5 and hepatic arterial injury and provided satisfactory longterm outcomes despite high postoperative morbidity.

Cited by 51 publications

References 47 publications

Partial Liver Resection because of Bile Duct Injury

Partial Liver Resection because of Bile Duct Injury

Hepatic resection for bile duct injury: A case report

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