Outcomes of hepaticojejunostomy for post-cholecystectomy bile duct injury
Objectives Long-term results of hepaticojejunostomy (HJ) for complex bile duct injury (BDI) remain under-reported. The objective of this study was to assess short-term and long-term outcomes of HJ for post-cholecystectomy BDI. Methods This was a retrospective cohort study and included patients who u...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-03-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605231162444 |
| _version_ | 1827978049522499584 |
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| author | Humaid Ahmad Haseeb Haider Zia Mohammad Salih Muhammad Naseer Nusrat Yar Khan Abu Bakar Hafeez Bhatti |
| author_facet | Humaid Ahmad Haseeb Haider Zia Mohammad Salih Muhammad Naseer Nusrat Yar Khan Abu Bakar Hafeez Bhatti |
| author_sort | Humaid Ahmad |
| collection | DOAJ |
| description | Objectives Long-term results of hepaticojejunostomy (HJ) for complex bile duct injury (BDI) remain under-reported. The objective of this study was to assess short-term and long-term outcomes of HJ for post-cholecystectomy BDI. Methods This was a retrospective cohort study and included patients who underwent Roux-en-Y HJ for BDI (n = 87). Short-term (90-day) and long-term morbidity and mortality were assessed. Results At presentation, 42 (48.2%) patients had E3 or E4 BDI, 27 (31%) patients had vascular injury, and liver resection was performed in 12 (13.7%) patients. The 90-day morbidity was 51.7% (n = 45), and the 90-day mortality was 2.3% (n = 2). The long-term mortality was 3.4% (n = 3). The 10-year estimated stricture-free survival was 95%. The 10-year estimated overall survival rate was 100% in patients who underwent major hepatectomy and 91% in patients who did not. The 10-year estimated overall survival rate was 100% in patients with vasculobiliary injury and was not reached in patients without vascular injury. Conclusions Vascular injury with proximal BDI is not uncommon. Excellent long-term outcomes might be achieved with Roux-en-Y HJ for BDI with vascular injury and in patients requiring liver resection. |
| first_indexed | 2024-04-09T21:15:41Z |
| format | Article |
| id | doaj.art-e4f09b8e9a574622ae8fd8b63c32f90e |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-04-09T21:15:41Z |
| publishDate | 2023-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-e4f09b8e9a574622ae8fd8b63c32f90e2023-03-28T11:05:14ZengSAGE PublishingJournal of International Medical Research1473-23002023-03-015110.1177/03000605231162444Outcomes of hepaticojejunostomy for post-cholecystectomy bile duct injuryHumaid AhmadHaseeb Haider ZiaMohammad SalihMuhammad NaseerNusrat Yar KhanAbu Bakar Hafeez BhattiObjectives Long-term results of hepaticojejunostomy (HJ) for complex bile duct injury (BDI) remain under-reported. The objective of this study was to assess short-term and long-term outcomes of HJ for post-cholecystectomy BDI. Methods This was a retrospective cohort study and included patients who underwent Roux-en-Y HJ for BDI (n = 87). Short-term (90-day) and long-term morbidity and mortality were assessed. Results At presentation, 42 (48.2%) patients had E3 or E4 BDI, 27 (31%) patients had vascular injury, and liver resection was performed in 12 (13.7%) patients. The 90-day morbidity was 51.7% (n = 45), and the 90-day mortality was 2.3% (n = 2). The long-term mortality was 3.4% (n = 3). The 10-year estimated stricture-free survival was 95%. The 10-year estimated overall survival rate was 100% in patients who underwent major hepatectomy and 91% in patients who did not. The 10-year estimated overall survival rate was 100% in patients with vasculobiliary injury and was not reached in patients without vascular injury. Conclusions Vascular injury with proximal BDI is not uncommon. Excellent long-term outcomes might be achieved with Roux-en-Y HJ for BDI with vascular injury and in patients requiring liver resection.https://doi.org/10.1177/03000605231162444 |
| spellingShingle | Humaid Ahmad Haseeb Haider Zia Mohammad Salih Muhammad Naseer Nusrat Yar Khan Abu Bakar Hafeez Bhatti Outcomes of hepaticojejunostomy for post-cholecystectomy bile duct injury Journal of International Medical Research |
| title | Outcomes of hepaticojejunostomy for post-cholecystectomy bile duct injury |
| title_full | Outcomes of hepaticojejunostomy for post-cholecystectomy bile duct injury |
| title_fullStr | Outcomes of hepaticojejunostomy for post-cholecystectomy bile duct injury |
| title_full_unstemmed | Outcomes of hepaticojejunostomy for post-cholecystectomy bile duct injury |
| title_short | Outcomes of hepaticojejunostomy for post-cholecystectomy bile duct injury |
| title_sort | outcomes of hepaticojejunostomy for post cholecystectomy bile duct injury |
| url | https://doi.org/10.1177/03000605231162444 |
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