Iatrogenic Bile Duct Injury: Call for Help, Refer Early, Reduce Infection. Invited Commentary: Liver Transplantation as Definitive Treatment of Postcholecystectomy Bile Duct Injury: Experience in a High-volume Repair Center

Serrano, Oscar K.

doi:10.1097/sla.0000000000005342

Cited by 4 publications

(2 citation statements)

References 16 publications

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“…About 80% to 90% of BDI occur in patients undergoing cholecystectomy 13 , 25 . Currently, the rate of BDI is similar in patients undergoing open or laparoscopic cholecystectomy and varies between 0.1% and 0.6% 4 , 12 , 26 , 27 . However, laparoscopic cholecystectomy is associated with more severe injuries due to the more proximal location of the injury in the biliary tree and the frequent association with vascular injury 4 , 12 .…”

Section: Discussionmentioning

confidence: 99%

Liver transplantation for the treatment of iatrogenic bile duct injury

ZENI

Coelho

NETO

et al. 2022

Rev. Col. Bras. Cir.

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Objective: to assess the outcomes of our patients who were subjected to LT for iatrogenic bile duct injury. Methods: all patients who underwent LT for treatment of complications of biliary duct injury were included in the study. Medical records and study protocols of these patients were retrospectively analyzed to determine demographic and clinical characteristics, treatment, and outcome of the patients. Results: of a total of 846 liver transplants performed, 12 (1.4%) were due to iatrogenic bile duct injury: 10 (83.3%) occurred during cholecystectomy, 1 (8.3%) following chemoembolization, and 1 (8.3%) during laparotomy to control abdominal bleeding. Cholecystectomy was performed by open access in 8 patients and by laparoscopic access in two . There were 8 female (66.7%) and 4 male (33.3%) with a mean age of 50.6 ± 13.1 years (range 23 to 70 years). All transplants were performed with livers from cadaveric donors. The mean operative time was 558.2 ± 105.2 minutes (range, 400-782 minutes). Biliary reconstruction was performed with Roux-en-Y hepaticojejunostomy in 11 patients and choledochocholedochostomy in one. Seven patients died (58.3%) and five (41.7%) were alive during a mean followed up of 100 months (range 18 to 118 months). Conclusion: liver transplantation in patients with iatrogenic bile duct injury is a complex procedure with elevated morbimortality.

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Section: Discussionmentioning

confidence: 99%

Liver transplantation for the treatment of iatrogenic bile duct injury

ZENI

Coelho

NETO

et al. 2022

Rev. Col. Bras. Cir.

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“…We know that whether the bile duct is transected or defective, whether it is combined with vascular and intestinal duct injury, and other factors affect the choice of surgical methods and prognosis of patients 2 . In addition, with the gradual maturity of surgical and minimally invasive techniques, the treatment methods for BDI currently include endoscopic treatment, bile duct jejunum Roux-en-Y anastomosis, bile duct end-to-end anastomosis, hepatectomy, and liver transplantation 3 . In order to control the deviation, the authors have only considered HJ, which is both an advantage and a shortcoming.…”

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confidence: 99%