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Clinical Application of the Hanover Classification for Iatrogenic Bile Duct Lesions
Joint Authors
Kleine, Moritz
Klempnauer, Juergen
Schrem, Harald
Bektas, Hüseyin
Tamac, Azad
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-01-05
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
There is only limited evidence available to justify generalized clinical classification and treatment recommendations for iatrogenic bile duct lesions.
Methods.
Data of 93 patients with iatrogenic bile duct lesions was evaluated retrospectively to analyse the variety of encountered lesions with the Hanover classification and its impact on surgical treatment and outcomes.
Results.
Bile duct lesions combined with vascular lesions were observed in 20 patients (21.5%).
18 of these patients were treated with additional partial hepatectomy while the majority were treated by hepaticojejunostomy alone (n=54).
Concomitant injury to the right hepatic artery resulted in additional right anatomical hemihepatectomy in 10 of 18 cases.
8 of 12 cases with type A lesions were treated with drainage alone or direct suture of the bile leak while 2 patients with a C2 lesion required a Whipple’s procedure.
Observed congruence between originally proposed lesion-type-specific treatment and actually performed treatment was 66–100% dependent on the category of lesion type.
Hospital mortality was 3.2% (n=3).
Conclusions.
The Hannover classification may be helpful to standardize the systematic description of iatrogenic bile duct lesions in order to establish evidence-based and lesion-type-specific treatment recommendations.
American Psychological Association (APA)
Bektas, Hüseyin& Kleine, Moritz& Tamac, Azad& Klempnauer, Juergen& Schrem, Harald. 2012. Clinical Application of the Hanover Classification for Iatrogenic Bile Duct Lesions. HPB Surgery،Vol. 2011, no. 2011, pp.1-10.
https://search.emarefa.net/detail/BIM-485046
Modern Language Association (MLA)
Bektas, Hüseyin…[et al.]. Clinical Application of the Hanover Classification for Iatrogenic Bile Duct Lesions. HPB Surgery No. 2011 (2011), pp.1-10.
https://search.emarefa.net/detail/BIM-485046
American Medical Association (AMA)
Bektas, Hüseyin& Kleine, Moritz& Tamac, Azad& Klempnauer, Juergen& Schrem, Harald. Clinical Application of the Hanover Classification for Iatrogenic Bile Duct Lesions. HPB Surgery. 2012. Vol. 2011, no. 2011, pp.1-10.
https://search.emarefa.net/detail/BIM-485046
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-485046