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2015 | 87 | 3 | 129-133
Tytuł artykułu

Is the Age of Patients with Iatrogenic Bile Duct Injuries Increasing?

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Resection of the gall-bladder is still the most common surgical procedure performed at general surgery departments. The laparoscopic method used in the majority of cases offers considerable benefits but at the same time is associated with an increased rate of bile duct complications. So far, a slim female aged 25-50 years was a typical patient with a iatrogenic bile duct injury. The aim of the study was to identify the age of patients with iatrogenic bile duct injuries as well as the clinical course observed in recent years. Material and methods. Gender and age structure of patients admitted to the Department of General, Transplant and Liver Surgery between the beginning of 2011 and June 2014 and treated for iatrogenic bile duct injuries, complications of laparoscopic cholecystectomy, were analysed. The patients were referred to the department as a reference centre. Results. In the group of 186 patients, females predominated (69.4%) and the mean age was 52 years. A considerable increase in the mean age of patients treated in 2014 as compared with previous years was seen. This was related to an increased rate of bile duct injuries in patients aged over 70 years, who accounted for about 25% of the group. In previous years, bile duct injuries in patients of such an advanced age happened considerably less frequently. Conclusions. A iatrogenic bile duct injury in an elderly person may prove a fatal complication. A repair surgery, i.e. the biliary-enteric anastomosis, is a major and burdensome procedure, particularly in the case of patients aged over 70 years. Special caution during laparoscopic cholecystectomy is advised in this population, and the slightest doubts should lead to conversion.
Wydawca
Rocznik
Tom
87
Numer
3
Strony
129-133
Opis fizyczny
Daty
wydano
2015-03-01
otrzymano
2015-02-21
online
2015-07-03
Twórcy
  • Department of General, Transplant and Liver Surgery, Medical University of Warsaw Kierownik: prof. dr hab. M. Krawczyk , rstankiewicz0@gmail.com
  • Department of General, Transplant and Liver Surgery, Medical University of Warsaw Kierownik: prof. dr hab. M. Krawczyk
  • Department of General, Transplant and Liver Surgery, Medical University of Warsaw Kierownik: prof. dr hab. M. Krawczyk
Bibliografia
  • 1. Andersson R, Eriksson K, Blind P-J et al.: Iatrogenic duct injury - a cost analysis. HPB 2008; 10: 416-19.
  • 2. Moore DE , Feurer ID , Holzman MD et al.: Longterm detrimental affect of bile duct injury on health- related quality of life. Arch Surg 2004; 139: 476-82.
  • 3. Stanowski E, Paczyński A, Koziarski T i wsp.: Powikłania cholecystektomii laparoskopowej - wyniki ankiety z 17 krajowych ośrodków chirurgicznych - 10 lat obserwacji. Pol Przegl Chir 2002; 74 (8): 691-99.
  • 4. Sicklick JK , Camp MS , Lillemoe KD et al.: Surgical management of the bile duct injuries sustained during laparoscopic cholecystectomy. Ann Surg 2005; 241: 786-95.
  • 5. Waage A, Nilsson M: Iatrogenic bile duct injury - a population-based study of 152776 cholecystectomies in the Swedish inpatient registry. Arch Surg 2006; 141: 1207-13.
  • 6. Törnqvist B, Strömberg C: Effect of intended intraoperativecholangiography and early detection of bile duct injury on survival after cholecystectomy: population based cohort study. BMJ 2012; 345: e6457
  • 7. Eum YO , Park JK , Chun J et al.: Non-surgical treatment of post-surgical bile duct injury: Clinical implications and outcomes. WJG 2014; 20(22): 6924-31.
  • 8. Huang Q, Yao HH , Shao F: Analysis of Risk Factors for Postoperative Complication of Repair of Bile Duct Injury After Laparoscopic Cholecystectomy. Dig Dis Sci 2014.
  • 9. Cannon RM , Brock G, Buell JF: A Novel Classification System to Address Financial Impact and Referral Decisions for Bile Duct Injury in Laparoscopic Cholecystectomy. HPB Surgery 2011: 1-6.
  • 10. Mercado MA, Dominguez I: Classification and management of bile duct injuries. World J Gastrointest Surg 2011; 3(4): 43-48.
  • 11. Barros F, Fernandes RA, Oliveira ME et al.: The influence of time referral in the treatment of iatrogenic lesions of biliary tract. Rev Col Bras Cir 2010; 37(6): 407-12.
  • 12. Pekolj J, Alvarez FA, Palavecino M et al.: Intraoperative Management and Repair of Bile Duct Injuries Sustained during 10,123 Laparoscopic Cholecystectomies in a High-Volume Referral Center. J Am Coll Surg 2013; 216: 5; 894-901.
  • 13. Krawczyk M, Patkowski W: Taktyka postępowania w jatrogennym uszkodzeniu dróg żółciowych. Pol Przegl Chir 2001; 73(1): 4-16.
  • 14. Krawczyk M, Zieniewicz K: Zwężenia łagodne dróg żółciowych i przetoki żółciowe. W: M. Krawczyk (red.) Chirurgia dróg żółciowych i wątroby, tom 1. Wyd. 1. PZWL, Warszawa 2013; 218-32.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_1515_pjs-2015-0032
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