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Year : 2020  |  Volume : 39  |  Issue : 3  |  Page : 748-755

Predictors of satisfactory outcome following repair of postcholecystectomy bile duct injury

1 HPB and Liver Transplantation Unit, Department of Surgery, Al-Rajhy Liver Hospital, Egypt
2 Department of Surgical Oncology, South Cancer Institute, Assiut University, Assiut, Egypt

Correspondence Address:
Mohamed I Omar
10 Methaq Street, City Square, Assiut
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ejs.ejs_68_20

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Background We aim to report the short-term and long-term outcome of surgical repair following Roux-en-Y hepaticojejunostomy for postcholecystectomy bile duct injury (BDI) in a tertiary hepatobiliary center in Upper Egypt (Assiut University). Patients and methods A retrospective study was conducted on all patients diagnosed with postcholecystectomy BDI during the period 2014–2018 at Al-Rajhi Liver Institute, Assiut University, who had undergone surgical repair of BDI. Patients were grouped according to the time interval between previous surgery and surgical repair into two groups: group 1: time interval less than or equal to 6 weeks and group 2: time interval more than 6 weeks. Results Of 43 patients enrolled, 18 were in group 1 and 25 in group 2. The overall incidence of stricture was 14% (27.9% in group 1 and 4% in group 2), which is statistically significant (P=0.026). Other factors that have a significant association with incidence of stricture included bilirubin level. On multivariate analysis, none of these factors had a significant effect on the development of biliary stricture. Conclusion We believe that timing of repair of BDI following cholecystectomy has a significant effect on the outcome of repair. Moreover, best results in biliary reconstruction can be achieved in a specialized hepatobiliary center.

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