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Current Scenario of Postcholecystectomy Bile Leak and Bile Duct Injury at a Tertiary Care Referral Centre of Nepal
المؤلفون المشاركون
Pandit, Narendra
Yadav, Tek Narayan
Awale, Laligen
Deo, Kunal Bikram
Dhakal, Yogesh
Adhikary, Shailesh
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-04-21
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Objective.
With the adoption of safe cholecystectomy principles at an academic institute, the risk of major bile duct injury has decreased.
This study aims at evaluating the present status of bile duct injury, compared to the study published in 2013 by index centre.
Methods.
This is a retrospective review of a prospectively maintained database of bile leak and bile duct injury from 2014 to 2019.
Patients who completed postcholecystectomy bile leak or bile duct injury treatment and were on regular follow-up were included.
Results.
Eighteen patients (0.78%) among 2,300 consecutive cholecystectomies presented with bile duct injury, including 8 (0.35%) major bile duct injuries and 10 (0.43%) bile leaks compared to major bile duct injury rate of 0.68% (92/11,345 cholecystectomies) between 2001 and 2010.
Injuries were classified as Strasberg’s type A (52.9%), type D (5.9%), and type E (41.1%).
Eight patients (47%) of bile leak were managed conservatively with drains, while two required laparotomy and lavage.
The mean time for spontaneous closure of bile leak was 11 days.
Intraoperative repair was done in three cases: Roux en Y hepaticojejunostomy in 2 and end-to-end repair over T-tube in 1 for sharp transection of the duct.
Delayed repair (Roux-en-Y hepaticojejunostomy) was done in five patients.
The median postcholecystectomy hospital stay was 8 days, with no mortality.
There was no restricture at a median follow-up of 13 months.
Conclusion.
With the adoption of a safe culture of cholecystectomy, the major bile duct injury rate has decreased currently.
Repair of bile duct injury by experienced hepatobiliary surgeon results in excellent outcome.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Pandit, Narendra& Yadav, Tek Narayan& Awale, Laligen& Deo, Kunal Bikram& Dhakal, Yogesh& Adhikary, Shailesh. 2020. Current Scenario of Postcholecystectomy Bile Leak and Bile Duct Injury at a Tertiary Care Referral Centre of Nepal. Minimally Invasive Surgery،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1192273
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Pandit, Narendra…[et al.]. Current Scenario of Postcholecystectomy Bile Leak and Bile Duct Injury at a Tertiary Care Referral Centre of Nepal. Minimally Invasive Surgery No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1192273
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Pandit, Narendra& Yadav, Tek Narayan& Awale, Laligen& Deo, Kunal Bikram& Dhakal, Yogesh& Adhikary, Shailesh. Current Scenario of Postcholecystectomy Bile Leak and Bile Duct Injury at a Tertiary Care Referral Centre of Nepal. Minimally Invasive Surgery. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1192273
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1192273
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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