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2015 | 86 | 12 | 576-583
Tytuł artykułu

Iatrogenic Bile Duct Injury. A Significant Surgical Problem. Assessment of Treatment Outcomes in the Department's Own Material

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Iatrogenic bile duct injuries (BDI) are still a challenging diagnostic and therapeutic problem. With the introduction of the laparoscopic technique for the treatment of cholecystolithiasis, the incidence of iatrogenic BDI increased. The aim of the study was a retrospective analysis of 69 patients treated at the department due to iatrogenic BDI in the years 2004-2014. Material and methods. In this paper, we presented the results of a retrospective analysis of 69 patients treated at the Department due to iatrogenic BDI in the years 2004-2014. The data were analysed in terms of age, sex, type of biliary injury, clinical symptoms, the type of repair surgery, the time between the primary surgery and the BDI management, postoperative complications and duration of hospital stay. Results. 82.6% of BDI occurred during laparoscopic cholecystectomy, 8.7% occurred during open cholecystectomy, whereas 6 cases of BDI resulted from surgeries conducted for other indications. In order to assess the degree of BDI, Bismuth and Neuhaus classifications were used (for open and laparoscopic cholecystectomy respectively). 84.1% of patients with confirmed BDI, were transferred to the Department from other hospitals. The average time between the primary surgery and reoperation was 6.2 days (SD 4). The most common clinical symptom was biliary fistula observed in 78.3% of patients. In 28 patients, unsuccessful attempts to manage BDI were made prior to the admission to the Department in other centres. The repair procedure was mainly conducted by laparotomy (82.6%) and by the endoscopic approach (15.9%). Hepaticojejunostomy was the most common type of reconstruction following BDI (34.7%). Conclusions. The increase in the rate of iatrogenic bile duct injury remains a challenging surgical problem. The management of BDI should be multidisciplinary treatment. Referring patients with both suspected and confirmed iatrogenic BDI to tertiary centres allows more effective treatment to be implemented.
Wydawca
Rocznik
Tom
86
Numer
12
Strony
576-583
Opis fizyczny
Daty
otrzymano
2014-10-21
online
2015-03-01
Twórcy
  • Department of General, Endocrinological Surgery and Gastroenterological Oncology, Medical University in Poznań Kierownik: prof. dr hab. M. Drews , bobofon007@gmail.com
  • Department of General, Endocrinological Surgery and Gastroenterological Oncology, Medical University in Poznań Kierownik: prof. dr hab. M. Drews
  • Department of General, Endocrinological Surgery and Gastroenterological Oncology, Medical University in Poznań Kierownik: prof. dr hab. M. Drews
  • Department of General, Endocrinological Surgery and Gastroenterological Oncology, Medical University in Poznań Kierownik: prof. dr hab. M. Drews
  • Department of General, Endocrinological Surgery and Gastroenterological Oncology, Medical University in Poznań Kierownik: prof. dr hab. M. Drews
  • Department of General, Endocrinological Surgery and Gastroenterological Oncology, Medical University in Poznań Kierownik: prof. dr hab. M. Drews
  • Department of General, Endocrinological Surgery and Gastroenterological Oncology, Medical University in Poznań Kierownik: prof. dr hab. M. Drews
Bibliografia
  • 1. Karvonen J, Salminen P, Grönroos JM: Bile duct injuries during open and laparoscopic cholecystectomy in the laparoscopic era: alarming trends. Surg Endosc 2011; 25(9): 2906-10.[PubMed][Crossref]
  • 2. Ahrendt SA, Pitt HA: Surgical therapy of iatrogenic lesions of biliary tract. World J Surg 2001; 25(10): 1360-65.[PubMed][Crossref]
  • 3. Roslyn JJ, Binns GS, Hughes EF et al.: Open cholecystectomy. A contemporary analysis of 42,474 patients. Ann Surg 1993; 218(2): 129-37.
  • 4. Mühe E: Long-term follow-up after laparoscopic cholecystectomy. Endoscopy 1992; 24(9): 754-58.[Crossref][PubMed]
  • 5. Dubois F, Icard P, Berthelot G et al.: Coelioscopic cholecystectomy. Preliminary report of 36 cases. Ann Surg 1990; 211(1): 60-62.
  • 6. Jabłońska B, Lampe P: Iatrogenic bile duct injuries: Etiology, diagnosis and management. World J Gastroenterol 2009; 15(33): 4097-4104.[Crossref][PubMed]
  • 7. Nordin A, Grönroos JM, Mãkisalo H: Treatment of biliary complications after laparoscopic cholecystectomy. Scand J Surg 2011; 100(1): 42-48.[PubMed]
  • 8. Lillemoe KD, Melton GB, Cameron JL et al.: Postoperative bile duct strictures: management and outcome in the 1990s. Ann Surg 2000; 232: 430-41.
  • 9. Bismuth: Postoperative strictures of the bile ducts. The Biliary Tract 1982; 209-18.
  • 10. N euhaus P, Schmidt SC, Hintze RE et al.: Classification and treatment of bile duct injuries after laparoscopic cholecystectomy. Chirurg 2000 Feb; 71(2): 166-73.
  • 11. S avader SJ, Lillemoe KD, Prescott CA et al.: Laparoscopic cholecystectomy-related bile duct injuries: a health and financial disaster. Ann Surg 1997; 225: 268-73.
  • 12. Massarweh NN, Devlin A, Symons RG et al.: Risk tolerance and bile duct injury: surgeon characteristics, risk-taking preference, and common bile duct injuries. J Am Coll Surg 2009; 209(1): 17-24.
  • 13. H ugh TB: New strategies to prevent laparoscopic bile duct injury - surgeons can learn from pilots. Surgery 2002; 132: 826-35.
  • 14. O lsen D: Bile duct injuries during laparoscopic cholecystectomy. Surg Endosc 1997; 1: 133-38.
  • 15. A bdalla S, Pierre S, Ellis H: Calot's Triangle. Clinical Anatomy 2013; 26: 493-501.
  • 16. S trasberg SM, Hertl M, Soper NJ: An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg 1995; 180: 101- 25.
  • 17. Way LW, Stewart L, Gantert W et al.: Causes and prevention of laparoscopic bile duct injuries: analysis of 252 cases from a human factors and cognitive psychology perspective. Ann Surg 2003; 237: 460-69.
  • 18. S tewart L,Way LW: Bile duct injuries during laparoscopic cholecystectomy. Factors that influence the results of treatment. Arch Surg 1995; 130: 1123-29.
  • 19. A rcher SB, Brown DW, Smith CD et al.: Bile duct injury during laparoscopic cholecystectomy: results of a national survey. Ann Surg 2001; 234: 549-59.
  • 20. Chaudhary A, Chandra A, Negi S et al.: Reoperative surgery for postcholecystectomy bile duct injuries. Dig Surg 2002; 19: 22-27.[PubMed][Crossref]
  • 21. Gazzaniga GM, Filauro M, Mori L: Surgical treatment of iatrogenic lesions of the proximal common bile duct. World J Surg 2001; 25: 1254-59.[Crossref][PubMed]
  • 22. Kozicki I, Bielecki K: Jatrogenne urazy dróg żółciowych powstałe podczas cholecystektomii laparoskopowej. Postępy Nauk Med. 2006; (1): 36-40.
  • 23. G łuszek S, Kot M, Bałchanowski N i wsp.: Iatrogenic bile duct injuries - clinical problems. Pol Przegl Chir 2014; 86(1): 17-25.
  • 24. G łuszek S, Stanowski E, Herjan L: Cholecystektomia laparoskopowa w Polsce. Wyniki, powikłania. Pol Przegl Chir 1995; (4): 386-94
  • 25. Koziel S, Patkowski W, Krawczyk M: Metody endoskopowe w leczeniu kalectwa zolciowego. Pol Przegl Chir 2013; Suppl.: 85(1): W-00116
  • 26. Kobryn K, Zieniewicz K, Wroblewski T i wsp.: Jatrogenne uszkodzenie dróg żółciowych i dalsze leczenie powikłań - opis przypadku. Pol Przegl Chir 2013; Suppl.: 85(1): P-00190
  • 27. Rossi RL, Tsao JL: Biliary reconstruction. Surg Clin North Am 1994; 74: 825-41.[PubMed]
  • 28. H all JG, Pappas TN et al.: Current management of biliary strictures. J Gastrointest Surg 2004; 8: 1098-1110.[PubMed]
  • 29. Tocchi A, Mazzoni G, Liotta G et al.: Late development of bile duct cancer in patients who had biliary-enteric drainage for benign disease: a follow up study of more than 1,000 patients. Ann Surg 2001; 234: 210-14.
  • 30. Frakes JT, Bradley SJ: Endoscopic stent placement for biliary leak from an accessory duct of Luschka after laparoscopic cholecystectomy. Gastrointest Endosc 1993; 39(1): 90-92.[Crossref][PubMed]
  • 31. Ramia JM, Muffak K, Mansilla A et al.: Postlaparoscopic cholecystectomy bile leak secondary to an accessory duct of Luschka. JSLS 2005; 9(2): 216-17.[PubMed]
  • 32. B ergman JJ, van den Brink GR, Rauws EA et al.: Treatment of bile duct lesions after laparoscopic cholecystectomy. Gut 1996; 38(1): 141-47.[PubMed]
  • 33. Hutan M, Banasiewicz T, Veverkova L et al.: Use of Negative Pressure Wound Therapy in Treatment of Enteroatmospheric Fistulas: Critical Review of the Literature. NPWT 2014; 1(1): 10- 16.
  • 34. B obkiewicz A, Banasiewicz T, Paszkowski J et al.: Biliary- Cutaneous and Entero-Cutaneous Fistulas Associated with Extensive Abdominal Wound Following Blunt Abdominal Trauma Treated with Negative Pressure Wound Therapy. NPWT 2014; 1: 22-26.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_1515_pjs-2015-0004
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