Publication: Long-term results of large diameter hepaticojejunostomy for treatment of bile duct injuries following cholecystectomy
1
Issued Date
2006-05-01
Resource Type
ISSN
01252208
01252208
01252208
Other identifier(s)
2-s2.0-33646768228
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.89, No.5 (2006), 657-662
Suggested Citation
Thawatchai Akaraviputh, Wiroon Boonnuch, Varut Lohsiriwat, Asada Methasate, Vitoon Chinswangwatanakul, Narong Lert-akayamanee, Darin Lohsiriwat Long-term results of large diameter hepaticojejunostomy for treatment of bile duct injuries following cholecystectomy. Journal of the Medical Association of Thailand. Vol.89, No.5 (2006), 657-662. Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/23752
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Long-term results of large diameter hepaticojejunostomy for treatment of bile duct injuries following cholecystectomy
Other Contributor(s)
Abstract
Objective: Bile Duct Injury (BDI) is one of the most serious complications of cholecystectomy. The authors analyzed the clinical presentation, surgical management and long-term outcome of 19 patients presenting with iatrogenic major BDIs (Straburg type E) following cholecystectomy who underwent Roux-en-Y hepaticojejunostomy. Material and Method: Between 1992 and 2005, 19 patients with major BDIs (Strasberg type E) following cholecystectomy were included. Operative notes and charts of all patients were reviewed systematically. A follow-up examination of each patient was performed after a median of 22 months (range 1-120). Results: Twelve patients presented with ascending cholangitis, two patients were referred to the hospital with biliary-cutaneous fistula and five patients (26.3%) were identified at the time of operations. All patients were treated with Roux-en-Y hepaticojejunostomy with at least 2 cm of the diameter of the biliary-enteric anastomosis. There was no postoperative mortality. Postoperative complication was found in 5 patients (26.3%). Until now, during the follow-up, neither clinical nor biochemical evidence of recurrent cholangitis has been found. Conclusion: Major BDIs are associated with high morbidity rate and prolonged hospitalization. Early detection and referral to an experienced center is crucial in the management of these patients. Roux-en-Y hepaticojejunostomy with large diameter of the biliary-enteric anastomosis is the surgical procedure of choice with good long-term outcome.