Meta-analysis of interrupted versus continuous suturing for Roux-en-Y hepaticojejunostomy and duct-to-duct choledochocholedochostomy

Hajibandeh, Shahin; Hajibandeh, Shahab; Parente, Alessandro; Bartlett, David; Chatzizacharias, N.; Dasari, B.; Hartog, Hermien; Perera, M Thamara P R; Marudanayagam, R.; Sutcliffe, Robert P.; Roberts, Keith; Isaac, John; Mirza, Darius F.

doi:10.1007/s00423-022-02548-y

Cited by 3 publications

(2 citation statements)

References 32 publications

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“…Prolonged stimulation can lead to local granulation tissue, increasing the risk of bile duct stenosis. Follow-up results align with Shahin Hajibandeh et al’s findings ( 24 ) regarding the outcomes of different bile duct suturing methods, confirming that proficient suture techniques significantly reduce biliary stricture incidence post-biliary surgery.…”

Section: Discussionsupporting

confidence: 81%

The management of a duodenal fistula involving the right hepatic duct: a rare case report

Ming,

Jun,

Nai-wen

et al. 2024

Front. Med.

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The formation of an internal fistula between the biliary system and the gastrointestinal tract is a rare condition with various etiologies, predominantly associated with recurrent chronic inflammation of the biliary system and tumors. Patients with this condition may lack specific clinical manifestations, presenting with symptoms such as abdominal pain, fever, jaundice, or may show no clinical signs at all. Common types of internal fistulas include cholecystoduodenal fistula, cholecystocolonic fistula, and choledochoduodenal fistula. Among these, the right hepaticoduodenal fistula is extremely rare and seldom reported in clinical literature. We herein report a case of right hepaticoduodenal fistula and analyze its mechanism, treatment principles, and preventive measures through a literature review.

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Section: Discussionsupporting

confidence: 81%

The management of a duodenal fistula involving the right hepatic duct: a rare case report

Ming,

Jun,

Nai-wen

et al. 2024

Front. Med.

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“…Difficulty in handling multiple sutures during minimally invasive surgery results in increased usage of continuous suture technique. While meta-analysis comparing two suture techniques has reported comparable outcomes, the evidence in the setting of postcholecystectomy biliary stricture is limited[ 32 ]. Hence, the long-term patency rate with the continuous suture technique commonly used in minimally invasive surgery must be analyzed.…”

Section: Limitations Of Minimally Invasive Surgery For Repair Of Post...mentioning

confidence: 99%

Minimally invasive surgery for post cholecystectomy biliary stricture: current evidence and future perspectives

Kalayarasan,

Sai Krishna

2023

World J Gastrointest Surg

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Postcholecystectomy bile duct injury (BDI) remains a devastating iatrogenic complication that adversely impacts the quality of life with high healthcare costs. Despite a decrease in the incidence of laparoscopic cholecystectomy-related BDI, the absolute number remains high as cholecystectomy is a commonly performed surgical procedure. Open Roux-en-Y hepaticojejunostomy with meticulous surgical technique remains the gold standard surgical procedure with excellent long-term results in most patients. As with many hepatobiliary disorders, a minimally invasive approach has been recently explored to minimize access-related complications and improve postoperative recovery. Since patients with gallstone disease are often admitted for a minimally invasive cholecystectomy, laparoscopic and robotic approaches for repairing postcholecystectomy biliary stricture are attractive. While recent series have shown the feasibility and safety of minimally invasive post-cholecystectomy biliary stricture management, most are retrospective analyses with small sample sizes. Also, long-term follow-up is available only in a limited number of studies. The principles and technique of minimally invasive repair resemble open repair except for the extent of adhesiolysis and the suturing technique with continuous sutures commonly used in minimally invasive approaches. The robotic approach overcomes key limitations of laparoscopic surgery and has the potential to become the preferred minimally invasive approach for the repair of postcholecystectomy biliary stricture. Despite increasing use, lack of prospective studies and selection bias with available evidence precludes definitive conclusions regarding minimally invasive surgery for managing postcholecystectomy biliary stricture. High-volume prospective studies are required to confirm the initial promising outcomes with minimally invasive surgery.

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Continuous suturing in hepaticojejunostomy after pancreaticoduodenectomy/total pancreatectomy: a risk factor for biliary leaks or strictures?

Zizzo

Zanelli

Sanguedolce

et al. 2022

HPB

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Meta-analysis of interrupted versus continuous suturing for Roux-en-Y hepaticojejunostomy and duct-to-duct choledochocholedochostomy

Cited by 3 publications

References 32 publications

The management of a duodenal fistula involving the right hepatic duct: a rare case report

The management of a duodenal fistula involving the right hepatic duct: a rare case report

Minimally invasive surgery for post cholecystectomy biliary stricture: current evidence and future perspectives

Continuous suturing in hepaticojejunostomy after pancreaticoduodenectomy/total pancreatectomy: a risk factor for biliary leaks or strictures?

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