MANAGEMENT OF LAPAROSCOPIC CHOLECYSTECTOMY-RELATED BILE DUCT INJURIES: A TERTIARY CENTER EXPERIENCE

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KERIMOGLU RAMAZAN SAYGIN; BOSTANCI ERDAL BIROL; DALGIC TAHSIN; KARAMAN KEREM; KAYAPINAR ALI KEMAL; OZER ILTER; ULAS MURAT; OZOGUL YUSUF BAYRAM; AKOGLU MUSA

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Journal: ARCHIVES OF IRANIAN MEDICINE Year:2017 | Volume:20 | Issue:8 Page(s): 487-493

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Title

MANAGEMENT OF LAPAROSCOPIC CHOLECYSTECTOMY-RELATED BILE DUCT INJURIES: A TERTIARY CENTER EXPERIENCE

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Keywords

BILE DUCT INJURY

BILE LEAK

BILE DUCT STRICTURE

HEPP-COUINAUD HEPATICOJEJUNOSTOMY

Abstract

BACKGROUND: Laparoscopic cholecystectomy (LC) -related bile duct injuries remains a challenging issue with major implications for patient's outcome.METHODS: Between January 2008 and December 2012, we retrospectively analyzed the management and treatment outcomes of 90 patients with BILE DUCT INJURY following LC.RESULTS: Forty-seven patients (52.2%) were treated surgically while the remaining 43 patients (47.8%) underwent non-surgical intervention. Injuries of Strasberg Type A and C were significantly more frequent in the non-surgical intervention group (P=0.016, P=0.044) whereas Type E2 was more frequent in the definitive surgery group (P<0.001). The success rate of non-surgical intervention decreased as the waiting time increased whereas the success of definitive surgery was not time-dependent (P=0.048). Initial jaundice (direct biluribin>1.3 gr/dL) significantly reduced the success rate of non-surgical interventions (P=0.017). Presence of intraabdominal abscess significantly increased the complication rate after both definitive surgery and non-surgical interventions (P=0.04, P=0.023). Treatment success rates were similar in both surgery and non-surgical intervention groups according to the distribution of Strasberg injury types.CONCLUSION: A multimodality approach is recommended in planning for patient-based treatment. Delayed referral reduces the success of nonsurgical interventions while it does not seem to significantly affect the success of surgical interventions when intraabdominal sepsis is under control.

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APA: Copy

KERIMOGLU, RAMAZAN SAYGIN, BOSTANCI, ERDAL BIROL, DALGIC, TAHSIN, KARAMAN, KEREM, KAYAPINAR, ALI KEMAL, OZER, ILTER, ULAS, MURAT, OZOGUL, YUSUF BAYRAM, & AKOGLU, MUSA. (2017). MANAGEMENT OF LAPAROSCOPIC CHOLECYSTECTOMY-RELATED BILE DUCT INJURIES: A TERTIARY CENTER EXPERIENCE. ARCHIVES OF IRANIAN MEDICINE, 20(8), 487-493. SID. https://sid.ir/paper/281500/en

Vancouver: Copy

KERIMOGLU RAMAZAN SAYGIN, BOSTANCI ERDAL BIROL, DALGIC TAHSIN, KARAMAN KEREM, KAYAPINAR ALI KEMAL, OZER ILTER, ULAS MURAT, OZOGUL YUSUF BAYRAM, AKOGLU MUSA. MANAGEMENT OF LAPAROSCOPIC CHOLECYSTECTOMY-RELATED BILE DUCT INJURIES: A TERTIARY CENTER EXPERIENCE. ARCHIVES OF IRANIAN MEDICINE[Internet]. 2017;20(8):487-493. Available from: https://sid.ir/paper/281500/en

IEEE: Copy

RAMAZAN SAYGIN KERIMOGLU, ERDAL BIROL BOSTANCI, TAHSIN DALGIC, KEREM KARAMAN, ALI KEMAL KAYAPINAR, ILTER OZER, MURAT ULAS, YUSUF BAYRAM OZOGUL, and MUSA AKOGLU, “MANAGEMENT OF LAPAROSCOPIC CHOLECYSTECTOMY-RELATED BILE DUCT INJURIES: A TERTIARY CENTER EXPERIENCE,” ARCHIVES OF IRANIAN MEDICINE, vol. 20, no. 8, pp. 487–493, 2017, [Online]. Available: https://sid.ir/paper/281500/en

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