The Egyptian Journal of Surgery

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

Predictors of satisfactory outcome following repair of postcholecystectomy bile duct injury


Ramy A Hassan1, Mohamed I Omar2, Murad A Jabir2, Ahmed M Elkoussy1, Mahmoud S Aly1, Ahmed M.I Taha1 
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
Egypt

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.


How to cite this article:
Hassan RA, Omar MI, Jabir MA, Elkoussy AM, Aly MS, Taha AM. Predictors of satisfactory outcome following repair of postcholecystectomy bile duct injury.Egypt J Surg 2020;39:748-755


How to cite this URL:
Hassan RA, Omar MI, Jabir MA, Elkoussy AM, Aly MS, Taha AM. Predictors of satisfactory outcome following repair of postcholecystectomy bile duct injury. Egypt J Surg [serial online] 2020 [cited 2020 Oct 22 ];39:748-755
Available from: http://www.ejs.eg.net/article.asp?issn=1110-1121;year=2020;volume=39;issue=3;spage=748;epage=755;aulast=Hassan;type=0