Table 3. Surgical interventions in cholangitis.
Cholangitis type | Number of patients, period and country of origin, sex, median age | Surgical procedures | Complications | Ref |
Recurrent pyogenic cholangitis | 94, 2007–2016 India, 66 women and 28 men, median age 40 years | Drainage procedure (HJ) (53%), left hepatectomy (19%), left lateral segmentectomy (14%), right hepatectomy (4%), right posterior sectorectomy (1%), left hepatectomy + HJ 5%, left lateral segmentectomy + HJ (2%), Right hepatectomy + HJ (1%) | Surgery-related complications in 32/94 patents, mild wound infection (9), severe wound infection (10), postoperative bile leak (6), postoperative hemorrhage requiring blood transfusion (1), chest infection (2), acute cholangitis (2), acute renal failure (1), sepsis (1) | 102 |
Recurrent pyogenic cholangitis | 80, 2001–2010 Hong Kong, 45 women and 35 men, median age 60 years | Hepaticocutaneousjejunostomy (100%), left lateral sectionectomy (19/80), left hepatectomy (11/80), right hepatectomy (5/80), right posterior hepatectomy (2/80), segment VIII resection (1/80) | 23/80 (28.8%) residual stones, 31.3% recurrent stones, wound infection (9), postoperative ileus (1), intra-abdominal collection requiring drainage (1), bile leak (1), incisional hernia (2) | 109 |
Recurrent pyogenic cholangitis | 85, 1995–2008 China, 50 women and 35 men, median age 61 years | Hepatectomy (65.9%), left hepatectomy (15.3%), left lateral sectionectomy (47.1%), right hepatectomy (2.4%), right posterior sectionectomy (1.2%), hepatectomy + drainage procedure (9.4%), left hepatectomy + HJ (2.4%), left lateral sectionectomy + HJ (4.7%), left lateral sectionectomy + sphincteroplasty (1.2%), right hepatectomy + HJ (1.2%), drainage procedure (14.1%), hepaticojejunostomy (7.1), transduodenal sphincteroplasty (1.2%), T-tube drainage (5.9%), percutaneous choledochoscopy (10.6%) | Wound infection (50%), intra-abdominal collection (21.7%), pleural effusion (6.5%), bile leak (4.3%), atrial fibrillation (4.3%), wound dehiscence (2.2%), incisional hernia (2.2%), others (8.7%) | 103 |
Recurrent pyogenic cholangitis | 27, 1986–2005 USA, 15 women and 12 men, median age 54.3 years | Liver resection+ choledochojejunostomy with Hutson access loop (11/27), liver resection only (6/27), common bile duct exploration (10/27) | Wound infection (3), deep venous thrombosis (1), perihepatic hematoma (1), perihepatic abscess (3), hepatic insufficiency (1) | 110 |
Abbreviation: HJ, hepaticojejunostomy.