ArticleThe Indian journal of surgery2015
Bile Duct Injury-from Injury to Repair: an Analysis of Management and Outcome.
Article in The Indian journal of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Clinical outcomes of laparoscopic versus robotic cholecystectomy approaches: a systematic review and GRADE assessment meta-analysis.Journal of robotic surgery · 2025Pooled it
- Long-Term Impact of Iatrogenic Bile Duct Injury.Digestive surgery · 2020Pooled it
- Management of Segmental Bile Duct Injuries After Cholecystectomy: a Systematic Review.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Pooled it
- Long-term outcomes and quality of life after repair of benign biliary stricture of post-cholecystectomy bile duct injury.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026Article
- Long-term outcomes and quality of life after surgical repair of benign biliary stricture following bile duct injury during cholecystectomy.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026Article
- Management of Iatrogenic Bile-Duct Injury After Cholecystectomy, 1995-2025: Systematic Review and Meta-Analysis.Life (Basel, Switzerland) · 2025Review
- Long-Term Outcomes Following Surgical Repair for Post-cholecystectomy Biliary Strictures.Cureus · 2024Article
- Efficacy and outcome of indocyanine green-based intraoperative cholangiography using near-infrared fluorescence imaging: A prospective study.Journal of minimal access surgery · 2024Article
- Partial segments 4/5 liver resection facilitates the repair of complicated bile duct injuries: a technical challenge and long-term outcomes.Updates in surgery · 2021Article
- Bile duct injury during laparoscopic cholecystectomy: An Indian e-survey.Annals of hepato-biliary-pancreatic surgery · 2020Article
- Post-cholecystectomy acute injury: What can go wrong?Annals of hepato-biliary-pancreatic surgery · 2019Article
- Surgical management of laparoscopic cholecystectomy (LC) related major bile duct injuries; predictors of short-and long-term outcomes in a tertiary Egyptian center- a retrospective cohort study.Annals of medicine and surgery (2012) · 2018Article
- Intraoperative ultrasonography of the biliary tract using saline as a contrast agent: a fast and accurate technique to identify complex biliary anatomy.Canadian journal of surgery. Journal canadien de chirurgie · 2017Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite advances in speciality care, mortality and morbidity remain the most important issues in the management of post-cholecystectomy bile duct injuries. We analysed the peri-operative management of post-cholecystectomy bile duct injuries to assess their outcomes. Of 150 patients with post-cholecystectomy bile duct injuries, 13 patients who presented with strictured hepaticojejunostomy were excluded from the analysis. The records of the remaining 137 patients were analysed for type of presentation, management and follow-up. Of 137 injuries, 88 were open and 49 were laparoscopic. Various presentations include acute bile duct injury (n = 5), bile collection (n = 45), external biliary fistula (n = 46) and stricture (n = 41). After initial management, three patients died (sepsis, n = 2; pseudoaneurysmal bleed, n = 1). Of 107 patients who underwent definitive repair, three died (portal hypertension, n = 2; sepsis, n = 1). At median follow-up of 30 months, 100 patients had good outcome (grade A, B), and only 4 had bad outcome (grade C, D) as per McDonald grading. Peritonitis and sepsis in the early phase and portal hypertension and cirrhosis in the late phase are the main causes of mortality in patients sustaining bile duct injury during cholecystectomy. Successful management in a specialist hepatobiliary centre can limit the morbidity in more than 90 % cases.
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