Outcome of surgical treatment for recurrent pyogenic cholangitis: a single-centre study

Abstract

Hepatectomy is safe and yields the best treatment outcome for RPC. It should be considered as the treatment of choice for suitable patients with RPC.

Laparoscopic and robotic hepatectomy: experience from a single centre

“…The higher rate of complications, though not significant, in RH as compared with LH in this series could be accounted for by the significantly more RPC cases in RH. In our experience, open operations for RPC were associated with high complication rate of 40% with intra‐abdominal collection rate of 21.7% . Otherwise, with a median blood loss of 100 mL and a median post‐operative hospital stay of 5 days, RH achieves similar clinical efficacy as LH.…”

Outcome of surgery for recurrent pyogenic cholangitis: a single center experience

“…Overall postoperative complications are more common in patients with RPC. In recently published series, it varied from 17% to 45% 6,24,25 and half of the complications were wound infections. Similarly in the present study, postoperative complications developed in 29% of patients and the most common complication was wound infection.…”

“…27 The stone clearance rate of 83% after primary surgery is comparable with other studies. 25,28 This can be explained by high incidence of involvement of first order hepatic ducts and judicious use of hepatectomy and biliary by pass in patients with bilobar disease. The incidence of recurrent stone and recurrence of biliary sepsis (10% and 11% respectively) were lower than other studies.…”

Recurrent Pyogenic Cholangitis: Got Stones?

“…Since surgical resection also provides tissue for pathological examination, an underlying occult cholangiocarcinoma can be diagnosed intra-or postoperatively [9][10][11]. Hepatic resection is also associated with significantly fewer biliary strictures and a lower 5-year recurrence rate as compared to PTC lithotripsy alone (18.2 vs. 60.9, and 5.6-13.9 vs. 31.5-50 %, respectively) [12].…”

“…Hepatectomy is a relatively safe procedure, with a success rate for stone clearance of 85-100 % [9,11]. Since surgical resection also provides tissue for pathological examination, an underlying occult cholangiocarcinoma can be diagnosed intra-or postoperatively [9][10][11].…”