Table 1.
Characteristics, treatment and outcome of patients with bile duct injury after laparoscopic and open cholecystectomy
| All patients (n = 27) | Laparoscopic cholecystectomy (n = 14) | Open cholecystectomy (n = 13) | |
|---|---|---|---|
| Age (years)* | 57 (35–65) | 48 (35–65) | 58 (42–63) |
| Sex ratio (M : F) | 10 : 17 | 6 : 8 | 4 : 9 |
| Diagnosis of BDI | |||
| Intraoperative | 15 | 8 | 7 |
| Postoperative | 12 | 6 | 6 |
| Bismuth–Strasberg classification of biliary injury | |||
| E2 | 4 | 1 | 3 |
| E3 | 11 | 3 | 8 |
| E4 | 12 | 10 | 2 |
| Vascular injury | |||
| RHA | 4 | 4 | 0 |
| CHA | 1 | 1 | 0 |
| CHA + PV | 2 | 2 | 0 |
| Treatment of BDI | |||
| Surgical† | 24 | 13 | 11 |
| Conservative‡ | 3 | 1 | 2 |
| No. of interventions before LT | |||
| Surgical | 2 (1–5) | 2 (1–3) | 2 (1–5) |
| Radiological and/or endoscopic | 17 (2–6) | 7 (2–6) | 10 (2–5) |
| Time from BDI to LT (months)* | 36 (0·02–276) | 21 (0·02–232) | 60 (24–276) |
*
Values are median (range). Bismuth–Strasberg classification: E2, stricture less than 2 cm from confluence and less than 2 cm of common hepatic duct present; E3, no common hepatic duct but confluence patent, and right and left systems communicating; E4, confluence strictured and the two systems isolated.
†
Total hepatectomy (1 patient), Roux-en-Y hepaticojejunostomy (24) and/or hepatic resection (6).
‡
Radiological and/or endoscopic procedures. BDI, bile duct injury; RHA, right hepatic artery; CHA common hepatic artery; PV, portal vein; LT, liver transplantation.