Revisional surgery for recurrent benign bile duct strictures


EROL T. , Dogrul A., ABBASOĞLU O.

EUROPEAN SURGERY-ACTA CHIRURGICA AUSTRIACA, 2020 (Journal Indexed in SCI) identifier identifier

  • Publication Type: Article / Article
  • Volume:
  • Publication Date: 2020
  • Doi Number: 10.1007/s10353-020-00667-8
  • Title of Journal : EUROPEAN SURGERY-ACTA CHIRURGICA AUSTRIACA

Abstract

Background Bile duct injuries during cholecystectomy are not rare and may have significant long-term morbidity. Treatment of these injuries is complex and needs a multidisciplinary approach. This study aims to evaluate the results of revisional surgery performed for recurrent biliary strictures that developed after a prior repair. Methods Patients who had been surgically treated for a major biliary injury during open or laparoscopic cholecystectomy and operated on for recurrent stricture in our institute were reviewed retrospectively. A total of 11 patients who were referred to the surgery clinic were included. Results The median length of stay after revisional surgery was 9 days (range 5-30 days). Five patients (45%) had experienced at least one postoperative complication. The median follow-up period was 36 months (range 5-69 months). Terblanche clinical scores of all patients were 1 or 2 at their last clinical visit. None of the 11 patients required reoperation and no mortality was seen during the postoperative period. Conclusion Although revisional biliary surgery for recurrent biliary strictures is a challenging procedure, these revisions can be performed with favorable results. Meticulous preoperative evaluation and implementation of precise surgical technique are essential to achieve long-term success.