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Immediate or Delayed Repair for Bile Duct Injury Recognized Postoperatively?

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Difficult Decisions in Hepatobiliary and Pancreatic Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

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Abstract

Bile duct injuries occurring during laparoscopic cholecystectomy are rare, but result in considerable morbidity, rare mortality and major health care costs. Significant debate and controversy, however, remains regarding the optimal timing of repair of bile duct injury recognized in the postoperative period. Delayed bile duct injury repair has been associated with superior clinical outcomes when compared to immediate repair. Repair via a Roux-en-Y hepaticojejunostomy approach has been shown to have higher success rates when compared to direct repair of these injuries. Repair of bile duct injuries is feasible with no long-term physical quality of life impairments, but with deterioration in mental health that improves over time after repair.

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Authors and Affiliations

  1. Department of Surgery, Massachusetts General Hospital, Harvard Medical School, 15 Parkman Street, Boston, MA, 02114-3117, USA

    Zhi Ven Fong & Keith D. Lillemoe

Authors
  1. Zhi Ven Fong
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  2. Keith D. Lillemoe
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Correspondence to Keith D. Lillemoe .

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Editors and Affiliations

  1. The University of Chicago, CHICAGO, Illinois, USA

    J. Michael Millis

  2. The University of Chicago, CHICAGO, Illinois, USA

    Jeffrey B. Matthews

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Fong, Z.V., Lillemoe, K.D. (2016). Immediate or Delayed Repair for Bile Duct Injury Recognized Postoperatively?. In: Millis, J., Matthews, J. (eds) Difficult Decisions in Hepatobiliary and Pancreatic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-319-27365-5_22

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  • DOI: https://doi.org/10.1007/978-3-319-27365-5_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27363-1

  • Online ISBN: 978-3-319-27365-5

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