Revisional surgery for recurrent benign bile duct strictures

EROL T., Dogrul A., ABBASOĞLU O.

EUROPEAN SURGERY-ACTA CHIRURGICA AUSTRIACA, cilt.53, sa.6, ss.299-304, 2021 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 53 Sayı: 6
  • Basım Tarihi: 2021
  • Doi Numarası: 10.1007/s10353-020-00667-8
  • Dergi Adı: EUROPEAN SURGERY-ACTA CHIRURGICA AUSTRIACA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, EMBASE
  • Sayfa Sayıları: ss.299-304
  • Anahtar Kelimeler: Bile duct injury, Bile duct stricture, Cholecystectomy, Hepaticojejunostomy, Revisional surgery, LAPAROSCOPIC CHOLECYSTECTOMY, RISK-FACTORS, FOLLOW-UP, INJURIES, CLASSIFICATION, MANAGEMENT, REPAIR, HEPATICOJEJUNOSTOMY, RECONSTRUCTION, COMPLICATIONS
  • Hacettepe Üniversitesi Adresli: Evet

Özet

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.