Table 1.
Characteristics of patients referred after post-cholecystectomy bile duct injury.
Patient characteristics | n (%)(n = 87) |
---|---|
Sex | |
Male | 19 (21.8) |
Female | 68 (78.2) |
Comorbidities | |
Diabetes mellitus | 14 (16.1)) |
Hypertension | 12 (13.8) |
Ischemic heart disease | 3 (3.4) |
Asthma | 1 (1.1) |
Chronic liver disease | 1 (1.1) |
ECOG | |
1 | 63 (72.4) |
2 | 11 (12.6) |
3 | 13 (14.9) |
Sepsis at presentation | |
No | 53 (60.9) |
Yes | 34 (39.1) |
Clinical presentation | |
Bile leakage | 19 (21.8) |
Jaundice | 65 (74.7) |
Initial surgery | |
Bile leakage and jaundice | 3 (3.4) |
Open cholecystectomy | 32 (36.8) |
Laparoscopic cholecystectomy | 55 (63.2) |
Conversion to open | 21 (38.1) |
Reason for conversion (n = 21) | |
Operative difficulty | 5 (23.8) |
Intraoperative bleeding | 3 (14.3) |
Bile duct injury | 13 (61.9) |
Surgery at a tertiary facility | |
Yes | 23 (26.4) |
No | 64 (73.6) |
Prior ERCP | |
Performed | 36 (41.4) |
Prior PTBD | |
Performed | 10 (11.5) |
Prior surgical management | |
None | 35 (40.2) |
Laparotomy and drainage | 16 (18.4) |
Primary repair of the bile duct | 2 (2.3) |
T-tube repair | 10 (11.5) |
Choledochoduodenostomy | 4 (4.6) |
Hepaticojejunostomy | 20 (23) |
ECOG, Eastern Cooperative Oncology Group; ERCP, endoscopic retrograde cholangiopancreatography; PTBD, percutaneous transhepatic biliary drainage.