Hepatic Resection for Post-cholecystectomy Bile Duct Injuries: a Literature Review

Overview

Journal HPB (Oxford)

Publisher Elsevier

Specialty Gastroenterology

Date 2010 Jul 2

PMID 20590909

Citations 16

Authors

Stephanie Truant

Emmanuel Boleslawski

Gilles Lebuffe

Geraldine Sergent

Francois-Rene Pruvot

Affiliations

Soon will be listed here.

Abstract

Objectives: This study seeks to identify factors for hepatectomy in the management of post-cholecystectomy bile duct injury (BDI) and outcome via a systematic review of the literature.

Methods: Relevant literature was found by searching the PubMed database and the bibliographies of extracted articles. To avoid bias selection, factors for hepatectomy were analysed in series reporting both patients undergoing hepatectomy and patients undergoing biliary repair without hepatectomy (bimodal treatment). Relevant variables were the presence or absence of additional hepatic artery and/or portal vein injury, the level of BDI, and a previous biliary repair.

Results: Among 460 potentially relevant publications, only 31 met the eligibility criteria. A total of 99 hepatectomies were reported among 1756 (5.6%) patients referred for post-cholecystectomy BDI. In eight series reporting bimodal treatment, including 232 patients, logistic regression multivariate analysis showed that hepatic arterial and Strasberg E4 and E5 injuries were independent factors associated with hepatectomy. Patients with combined arterial and Strasberg E4 or E5 injury were 43.3 times more likely to undergo hepatectomy (95% confidence interval 8.0-234.2) than patients without complex injury. Despite high postoperative morbidity, mortality rates were comparable with those of hepaticojejunostomy, except in urgent hepatectomies (within 2 weeks; four of nine patients died). Longterm outcome was satisfactory in 12 of 18 patients in the largest series.

Conclusions: Hepatectomies were performed mainly in patients showing complex concurrent Strasberg E4 or E5 and hepatic arterial injury and provided satisfactory longterm outcomes despite high postoperative morbidity.

Citing Articles

Four-Year Report of Iatrogenic Bile Duct Injury Repair from a Referral Hepatobiliary Center.

Zarghami S, Ghafoury R, Fakhar N, Afrashteh F, Tasa D, Hyder Z Middle East J Dig Dis. 2024; 16(3):173-177.

PMID: 39386338 PMC: 11459285. DOI: 10.34172/mejdd.2024.385.

BILE: A Literature Review Based Novel Clinical Classification and Treatment Algorithm of Iatrogenic Bile Duct Injuries.

Symeonidis D, Tepetes K, Tzovaras G, Samara A, Zacharoulis D J Clin Med. 2023; 12(11).

PMID: 37297981 PMC: 10253433. DOI: 10.3390/jcm12113786.

Hepaticojejunostomy for bile duct injury: state of the art.

Marichez A, Adam J, Laurent C, Chiche L Langenbecks Arch Surg. 2023; 408(1):107.

PMID: 36843190 DOI: 10.1007/s00423-023-02818-3.

2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy.

DeAngelis N, Catena F, Memeo R, Coccolini F, Martinez-Perez A, Romeo O World J Emerg Surg. 2021; 16(1):30.

PMID: 34112197 PMC: 8190978. DOI: 10.1186/s13017-021-00369-w.

Liver transplantation as last-resort treatment for patients with bile duct injuries following cholecystectomy: a multicenter analysis.

Tsaparas P, Machairas N, Ardiles V, Krawczyk M, Patrono D, Baccarani U Ann Gastroenterol. 2021; 34(1):111-118.

PMID: 33414630 PMC: 7774661. DOI: 10.20524/aog.2020.0541.

References

Holbert B, BARON R, Dodd 3rd G . Hepatic infarction caused by arterial insufficiency: spectrum and evolution of CT findings. AJR Am J Roentgenol. 1996; 166(4):815-20. DOI: 10.2214/ajr.166.4.8610556. View

Madariaga J, Dodson S, Selby R, Todo S, Iwatsuki S, Starzl T . Corrective treatment and anatomic considerations for laparoscopic cholecystectomy injuries. J Am Coll Surg. 1994; 179(3):321-5. PMC: 2675943. View

Branum G, Schmitt C, Baillie J, Suhocki P, Baker M, Davidoff A . Management of major biliary complications after laparoscopic cholecystectomy. Ann Surg. 1993; 217(5):532-40; discussion 540-1. PMC: 1242839. DOI: 10.1097/00000658-199305010-00014. View

Yan J, Peng C, Ding J, Yang W, Zhou G, Chen Y . Surgical management in biliary restricture after Roux-en-Y hepaticojejunostomy for bile duct injury. World J Gastroenterol. 2007; 13(48):6598-602. PMC: 4611303. DOI: 10.3748/wjg.v13.i48.6598. View

Mercado M . [From Langenbuch to Strasberg: the spectrum of bile duct injuries]. Rev Invest Clin. 2005; 56(5):649-64. View

de Santibanes E, Palavecino M, Ardiles V, Pekolj J . Bile duct injuries: management of late complications. Surg Endosc. 2006; 20(11):1648-53. DOI: 10.1007/s00464-006-0491-8. View

Thomson B, Parks R, Madhavan K, Garden O . Liver resection and transplantation in the management of iatrogenic biliary injury. World J Surg. 2007; 31(12):2363-9. DOI: 10.1007/s00268-007-9234-9. View

Topal B, Aerts R, Penninckx F . The outcome of major biliary tract injury with leakage in laparoscopic cholecystectomy. Surg Endosc. 1998; 13(1):53-6. DOI: 10.1007/s004649900897. View

Vibert E, Farges O, Regimbeau J, Belghiti J . Benign hilar biliary strictures stented with metallic stents can be resected by using an oncologic approach. Surgery. 2005; 137(5):506-10. DOI: 10.1016/j.surg.2005.01.013. View

10.

Kayaalp C, Nessar G, Kaman S, Akoglu M . Right liver necrosis: complication of laparoscopic cholecystectomy. Hepatogastroenterology. 2002; 48(42):1727-9. View

11.

Strasberg S, Picus D, Drebin J . Results of a new strategy for reconstruction of biliary injuries having an isolated right-sided component. J Gastrointest Surg. 2001; 5(3):266-74. DOI: 10.1016/s1091-255x(01)80047-0. View

12.

de Reuver P, Busch O, Rauws E, Lameris J, van Gulik T, Gouma D . Long-term results of a primary end-to-end anastomosis in peroperative detected bile duct injury. J Gastrointest Surg. 2007; 11(3):296-302. PMC: 1915638. DOI: 10.1007/s11605-007-0087-1. View

13.

Ohtsuka T, Chijiiwa K, Yamaguchi K, Akashi Y, Matsunaga H, Miyoshi A . Posterior hepatic duct injury during laparoscopic cholecystectomy finally necessitating hepatic resection: case report. JSLS. 2000; 3(4):323-6. PMC: 3015369. View

14.

Ragozzino A, Lassandro F, De Ritis R, Imbriaco M . Value of MRI in three patients with major vascular injuries after laparoscopic cholecystectomy. Emerg Radiol. 2007; 14(6):443-7. DOI: 10.1007/s10140-007-0617-x. View

15.

Li J, Frilling A, Nadalin S, Paul A, Malago M, Broelsch C . Management of concomitant hepatic artery injury in patients with iatrogenic major bile duct injury after laparoscopic cholecystectomy. Br J Surg. 2007; 95(4):460-5. DOI: 10.1002/bjs.6022. View

16.

Frilling A, Li J, Weber F, Fruhauf N, Engel J, Beckebaum S . Major bile duct injuries after laparoscopic cholecystectomy: a tertiary center experience. J Gastrointest Surg. 2004; 8(6):679-85. DOI: 10.1016/j.gassur.2004.04.005. View

17.

Gazzaniga G, Filauro M, Mori L . Surgical treatment of iatrogenic lesions of the proximal common bile duct. World J Surg. 2001; 25(10):1254-9. DOI: 10.1007/s00268-001-0105-5. View

18.

Wong M, Lucas C . Liver infarction after laparoscopic cholecystectomy injury to the right hepatic artery and portal vein. Am Surg. 2001; 67(5):410-1. View

19.

Bismuth H, Majno P . Biliary strictures: classification based on the principles of surgical treatment. World J Surg. 2001; 25(10):1241-4. DOI: 10.1007/s00268-001-0102-8. View

20.

Buell J, Cronin D, Funaki B, Koffron A, Yoshida A, Lo A . Devastating and fatal complications associated with combined vascular and bile duct injuries during cholecystectomy. Arch Surg. 2002; 137(6):703-8; discussion 708-10. DOI: 10.1001/archsurg.137.6.703. View