medigraphic.com
ISSN 1561-2945 (Print)

2022, Number 4

<< Back Next >>

Revista Cubana de Cirugía 2022; 61 (4)

Morbility due to bile duct lesion in a surgery service

Céspedes RHA, Fernández PR, Estopiñam CR

Language: Spanish
References: 16
Page:
PDF size: 390.76 Kb.


ABSTRACT

Introduction: Iatrogenic bile duct lesions represent a serious surgical complication of cholecystectomy.
Objective: To determine the morbility of bile duct lesions in the surgical service of Hospital Universitario “Manuel Ascunce Domenech”.
Methods: A descriptive, prospective and observational study was carried out with patients admitted to the surgery service of Hospital Universitario “Manuel Ascunce Domenech” with a diagnosis of bile duct lesion, from September 2018 to January 2022. The study universe consisted of twelve patients who met the inclusion criteria. Descriptive statistical methods and calculations with percentage values were used.
Results: The highest incidence of patients corresponded to the female sex and the white skin, accounting for 61.4 % and 85.7%, respectively. Conventional surgery and intraoperative diagnosis predominated, accounting for 66.7 % and 50 %, respectively. Types E1 and E2 according to the Strasberg classification, together with hepaticojejunostomy, was the most frequent surgery type, accounting for 66.7 %. Biliary bleeding was the predominant complication, accounting for 70 %.
Conclusions: Most of the patients belong to the female sex and have white skin, in which cases conventional surgery and intraoperative diagnosis are the most frequent findings. More than half of the patients are classified as types E1 or E2 according to the Strasberg classification. Transmesocolic Braun loop and Roux-en-Y hepaticojejunostomy is the procedure performed in almost all patients. Biliary leakage is the most frequent complication.


REFERENCES

  1. Tejos Rodrigo S, Rodríguez J, Briceño E, Guerra JF, Martínez J, Jarule N, et al. Surgical treatment of iatrogenic bile duct injury post cholecystectomy. Rev. Chilena de Cirugía. 2017 [acceso 02/02/2022];69(3):202-6. Disponible en: http://scielo.sld.cu/pdf/rme/v36n2/tema04.pdf1.

  2. Ríos-Hernández N, Guerrero-Avendaño GML. Lesiones de la vía biliar más frecuentes caracterizadas por colangiografía percutánea. Experiencia en un año en el servicio de radiología intervencionista. Anales de Radiología México. 2018 [acceso 02/02/2022];17(1):46-5 Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=797462.

  3. Vega Himerón L, Vega Gonzales E. Lesiones iatrogénicas de las vías biliares. Rev. Gastroenterol. 2017 [acceso 02/02/2022];37(4):350-6. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1022-51292017000400010&lng=es3.

  4. Pesce A. Iatrogenic bile duct injury: impact and management challenges. Clinical and experimental gastroenterology. 2019;12:121-8. DOI: https://doi.org/10.10.2147/CEG.S1694924.

  5. Faridoon S. Iatrogenic Bile Duct Injury Following Open and Laparoscopic Cholecystectomy and Treatment Outcome. Journal of Surgery Pakistan. 2018 [acceso 02/02/2022];23(1):21-4.

  6. Segovia JR, Barrios F, Ruiz M. Lesión quirúrgica de la vía biliar: experiencia en el Hospital "José Ramón Vidal de Corrientes". Rev. Argent. Cir. 2020;112(4):480-9. DOI: http://dx.doi.org/10.25132/raac.v112.n4.1456.ei6.

  7. Ahmed AR, Mohamed E, Waleed A, Ahmad MS, Ayman E. Long-term follow-up of 120 patients after hepaticojejunostomy for treatment of post-cholecystectomy bile duct injuries: A retrospective cohort study. International Journal of Surgery. 2015;18:205-10. DOI: https://doi.org/10.1016/j.ijsu.2015.05.0047.

  8. González González JL, Menéndez Núñez J, González Villalonga JA, Pérez Palenzuela J, Quevedo Guanche L. Reconstrucción de 183 lesiones iatrogénicas de la vía biliar. Rev Cubana Cir. 2012 [acceso 03/02/2022];51(4):288-306. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932012000400004&lng=es.8.

  9. Anand U, Kumar R, Priyadarshi R. N, Kumar M, Kumar R, Ahmed N, et al. »,» ®,® §,§ ­,­ ¹,¹ ²,² ³,³ ß,ß Þ,Þ þ,þ ×,× Ú,Ú ú,ú Û,Û û,û Ù,Ù ù,ù ¨,¨ Ü,Ü ü,ü Ý,Ý ý,ý ¥,¥ ÿ,ÿ ¶,¶ Analysis of outcomes of biliary reconstruction after post-cholecystectomy bile duct injuries. »,» ®,® §,§ ­,­ ¹,¹ ²,² ³,³ ß,ß Þ,Þ þ,þ ×,× Ú,Ú ú,ú Û,Û û,û Ù,Ù ù,ù ¨,¨ Ü,Ü ü,ü Ý,Ý ý,ý ¥,¥ ÿ,ÿ ¶,¶ ANZ Journal of Surgery. 2021;91:1542-8. DOI: https://doi.org/10.1111/ans.170479.

  10. Ramírez Sotomayor J, Adorno C, Rodríguez Vera R. Experiencia en el manejo de lesiones quirurgicas de vía biliar. Cir. Parag. 2016:8-12. DOI: https://doi.org/10.18004/sopaci.2016.mayo.8-1210.

  11. Hoyos SI, Quintero VM. Lesión quirúrgica de la vía biliar: experiencia en la Unidad de Cirugía Hepatobiliar y Pancreática del Hospital Pablo Tobón Uribe de Medellín. Rev. Colombiana de Cirugía. 2009 [acceso 02/02/2022];24(4):244-9. Disponible en: http://www.scielo.org.co/pdf/rcci/v24n4/v24n4a6.pdf11.

  12. Kapoor Vinay K. Management of Bile Duct Injury Detected Intraoperatively. Post-cholecystectomy Bile Duct Injury. Springer, Singapore. 2020:97-107. DOI: https://doi.org/10.1007/978-981-15-1236-0_912.

  13. Laredo A. Reparación de la iatrogenia biliar poscirugía laparoscópica en centros con experiencia en cirugía hepatobiliar. Cirugía Española. 2001;70(5):242-6. DOI: https://doi.org/10.1016/S0009-739X(01)71890-813.

  14. Serna JC. Incidencia de lesión de vías biliares en un hospital universitario: análisis de más de 1600 colecistectomías laparoscópicas. Rev Colomb Cir. 2019 [acceso 02/02/2022];34:45-54. Disponible en: https://www.revistacirugia.org/index.php/cirugia/article/view/9714.

  15. Emara M, Ali R, Mahmoud R, Mohamed S. Postcholecystectomy biliary injuries: frequency, and role of early versus late endoscopic retrograde cholangiopancreatography, European Journal of Gastroenterology & Hepatology. 2021;33(5):662-9. DOI: https://doi.org/10.1097/MEG.000000000000208615.

  16. Bhuiyan M, Nurmahal R. Clinical Presentation of Bile Duct Injured Patients-A Cross-Sectional Descriptive Study. SAR J Surg. 2021 [acceso 02/02/2022];2(2):15-21. Disponible en: https://sarmedjournals.com/media/articles/SARJS_22_15-21.pdf16.




2020     |     www.medigraphic.com