ArticleWorld journal of gastroenterology2015
Liver resection for the treatment of post-cholecystectomy biliary stricture with vascular injury.
Article in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 26 citations in OpenAlex.
- Comprehensive Imaging Insights into Post-Cholecystectomy Complications for Enhanced Clinical Practice.Clinical medicine & research · 2024Review
- Outcomes of hepaticojejunostomy for post-cholecystectomy bile duct injury.The Journal of international medical research · 2023Article
- Right posterior bile duct stricture after central bisectionectomy or anterior sectionectomy.Langenbeck's archives of surgery · 2022Article
- Timing of surgical repair of bile duct injuries after laparoscopic cholecystectomy: A systematic review.World journal of hepatology · 2022Article
- Total Hilar Exposure Maneuver for Repair of Complex Bile Duct Injury.Annals of gastroenterological surgery · 2022Article
- Recurrent pyogenic liver abscess after pancreatoduodenectomy caused by common hepatic artery injury: A case report.World journal of clinical cases · 2021Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo report experience with liver resection in a select group of patients with postoperative biliary stricture associated with vascular injury.
methodsFrom a prospective database of patients treated for benign biliary strictures at our hospital, cases that underwent liver resections were reviewed. All cases were referred after one or more attempts to repair bile duct injuries following cholecystectomy (open or laparoscopic). Liver resection was indicated in patients with Strasberg E3/E4 (hilar stricture) bile duct lesions associated with vascular damage (arterial and/or portal), ipsilateral liver atrophy/abscess, recurrent attacks of cholangitis, and failure of previous hepaticojejunostomy.
resultsOf 148 patients treated for benign biliary strictures, nine (6.1%) underwent liver resection; eight women and one man with a mean age of 38.6 years. Six patients had previously been submitted to open cholecystectomy and three to laparoscopic surgery. The mean number of surgical procedures before definitive treatment was 2.4. All patients had Strasberg E3/E4 injuries, and vascular injury was present in all cases. Eight patients underwent right hepatectomy and one underwent left lateral sectionectomy without mortality. Mean time of follow up was 69.1 mo and after long-term follow up, eight patients are asymptomatic.
conclusionLiver resection is a good therapeutic option for patients with complex postoperative biliary stricture and vascular injury presenting with liver atrophy/abscess in which previous hepaticojejunostomy has failed.
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