دورية أكاديمية
أعرض في EDS

Laparoscopic repair of bile duct injuries: Feasibility and outcomes.

التفاصيل البيبلوغرافية
العنوان: Laparoscopic repair of bile duct injuries: Feasibility and outcomes.
المؤلفون: Lenz Virreira ME; Unidad de Cirugía Hepatobiliar Compleja, Pancreática y Trasplante Hepático, Hospital de Alta Complejidad en Red 'El Cruce', Florencio Varela, Argentina. Electronic address: marcelo.e.lenz@gmail.com., Gasque RA; Unidad de Cirugía Hepatobiliar Compleja, Pancreática y Trasplante Hepático, Hospital de Alta Complejidad en Red 'El Cruce', Florencio Varela, Argentina., Cervantes JG; Unidad de Cirugía Hepatobiliar Compleja, Pancreática y Trasplante Hepático, Hospital de Alta Complejidad en Red 'El Cruce', Florencio Varela, Argentina., Mollard L; Unidad de Cirugía Hepatobiliar Compleja, Pancreática y Trasplante Hepático, Hospital de Alta Complejidad en Red 'El Cruce', Florencio Varela, Argentina., Ruiz NS; Unidad de Cirugía Hepatobiliar Compleja, Pancreática y Trasplante Hepático, Hospital de Alta Complejidad en Red 'El Cruce', Florencio Varela, Argentina., Beltrame MC; Unidad de Cirugía Hepatobiliar Compleja, Pancreática y Trasplante Hepático, Hospital de Alta Complejidad en Red 'El Cruce', Florencio Varela, Argentina., Mattera FJ; Unidad de Cirugía Hepatobiliar Compleja, Pancreática y Trasplante Hepático, Hospital de Alta Complejidad en Red 'El Cruce', Florencio Varela, Argentina., Quiñonez EG; Unidad de Cirugía Hepatobiliar Compleja, Pancreática y Trasplante Hepático, Hospital de Alta Complejidad en Red 'El Cruce', Florencio Varela, Argentina.
المصدر: Cirugia espanola [Cir Esp (Engl Ed)] 2024 Mar; Vol. 102 (3), pp. 127-134. Date of Electronic Publication: 2023 Dec 21.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier España Country of Publication: Spain NLM ID: 101771152 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2173-5077 (Electronic) Linking ISSN: 21735077 NLM ISO Abbreviation: Cir Esp (Engl Ed) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Madrid : Elsevier España
مواضيع طبية MeSH: Laparoscopy* , Cholecystectomy, Laparoscopic*/adverse effects , Abdominal Injuries*, Humans ; Female ; Young Adult ; Adult ; Middle Aged ; Aged ; Male ; Bile Ducts/surgery ; Bile Ducts/injuries ; Retrospective Studies ; Feasibility Studies
مستخلص: Introduction: Bile duct injuries (BDI) following laparoscopic cholecystectomy occurs in approximately 0.6% of the cases, often being more severe and complex. Roux-en-Y hepaticojejunostomy (RYHJ) is considered the optimal therapeutic option, with success rates ranging from 75% to 98%. Several series have demonstrated the advancements of the laparoscopic approach for resolving this condition. The objective of this study is to describe our experience in the laparoscopic repair of BDI.
Methods: A retrospective, descriptive study was conducted, including patients who underwent laparoscopic repair after BDI. Demographic, clinical, surgical, and postoperative variables were analysed using descriptive statistical analyses.
Results: Eight patients with BDI underwent laparoscopic repair (out of 81 surgically repaired patients). Women comprised 75% of the sample. A complete laparoscopic repair was achieved in 75% (6) of cases. The mean age was 40.8 ± 16.61 years (range 19-65). Injuries at or above the confluence (Strasberg-Bismuth ≥ E3) occurred in 25% of cases (2). Primary repair was performed in two cases. Half of the cases underwent a Hepp-Couinaud laterolateral RYHJ, while three patients received a terminolateral RYHJ, and one underwent a bi-terminolateral RYH. The mean operative time was 260 min (range 120-360). Overall morbidity was 37.5% (3 cases): two minor complications (bile leak grade A and drainage-related bleeding) and one major complication (bile leak grade C). No mortality was recorded. The maximum follow-up period reached 26 months (range 6-26).
Conclusions: Our study demonstrates the feasibility of laparoscopic RYHJ in a selected group of patients, offering the benefits of a minimally invasive approach.
(Copyright © 2023 AEC. Published by Elsevier España, S.L.U. All rights reserved.)
فهرسة مساهمة: Keywords: Bile duct injury; Hepaticojejunostomy; Hepaticoyeyunoanastomosis; Laparoscopy; Laparoscopía; Lesión quirúrgica de la vía biliar
تواريخ الأحداث: Date Created: 20231223 Date Completed: 20240319 Latest Revision: 20240319
رمز التحديث: 20240319
DOI: 10.1016/j.cireng.2023.10.008
PMID: 38141844
قاعدة البيانات: MEDLINE
الوصف
تدمد:2173-5077
DOI:10.1016/j.cireng.2023.10.008