Minimally invasive surgery for the management of major bile duct injury due to cholecystectomy
- 16 January 2020
- journal article
- review article
- Published by Wiley in Journal of Hepato-Biliary-Pancreatic Sciences
- Vol. 27 (4), 157-163
- https://doi.org/10.1002/jhbp.710
Abstract
Background over the last years there has been a growing interest toward the application of minimally invasive surgery in the management of cholecystectomy‐related injury to the biliary tract. The aim of this analysis is to identify and combine the available evidence on the argument, with particular reference to major injuries to the main bile duct requiring biliodigestive anastomosis. Methods The PubMed/MEDLINE, Embase, and Web of Science electronic databases were queried through May 2019. Inclusion criteria considered all studies reporting detailed data about patients with bile duct injury following cholecystectomy receiving minimally invasive (both laparoscopic and robotic) surgical repair. Clinical outcomes data were pooled and analyzed. Results A total of 31 studies reporting on the outcomes of 218 patients were eventually included in the analysis, whereby 148 patients with type D or E injury. Of these, there were 31 patients (21%) receiving direct bile duct repair and 117 patients (79%) undergoing bilioenteric reconstruction. Among patients with major bile duct injury, postoperative morbidity was 24%, being 12% the incidence of major complications and 6% the rate of patients requiring subsequent, further surgery. Conclusions the absence of high‐level evidences precludes the possibility to draw definitive conclusions. However, the available data derived from a growing number of centers demonstrates that minimally invasive surgery may offer its well‐known advantages on postoperative outcomes also in the setting of severe iatrogenic injury to the bile ducts.Keywords
This publication has 49 references indexed in Scilit:
- Total Laparoscopic Roux-en-Y Cholangiojejunostomy for the Treatment of Biliary DiseaseJSLS : Journal of the Society of Laparoendoscopic Surgeons, 2013
- Major Bile Duct Injuries During Cholecystectomy in ChildrenSurgical Laparoscopy, Endoscopy & Percutaneous Techniques, 2012
- Laparoscopic Revisional Hepaticojejunostomy for Biliary Stricture After Open Repair Following Common Bile Duct Injury: A Case ReportSurgical Innovation, 2011
- Laparoscopic diagnosis and treatment of postoperative complicationsThe American Journal of Surgery, 2009
- Iatrogenic biliary injury: 13,305 cholecystectomies experienced by a single surgical team over more than 13 yearsSurgical Endoscopy, 2008
- An Algorithm for the Management of Bile Leak Following Laparoscopic CholecystectomyThe Annals of The Royal College of Surgeons of England, 2007
- Surgical Management of Bile Duct Injuries Sustained During Laparoscopic CholecystectomyAnnals of Surgery, 2005
- Classification of Surgical ComplicationsAnnals of Surgery, 2004
- Management of Bile Leakage After Laparoscopic Cholecystectomy Based on Etiological ClassificationSurgery Today, 2004
- Role of relaparoscopy in the management of minor bile leakage after laparoscopic cholecystectomyBritish Journal of Surgery, 2000