• Turan Acar, Nihan Acar, Feyyaz Güngör, Emrah Alper, Özlem Gür, Hakan Çamyar, Mehmet Hacıyanlı, and Osman Nuri Dilek.
• Department of General Surgery, İzmir Katip Çelebi University Faculty of Medicine, İzmir-Turkey.
• Ulus Travma Acil Cer. 2020 Mar 1; 26 (2): 203-211.

BackgroundIatrogenic biliary tract injury (BTI) is a rare complication but has high risks of morbidity and mortality when it is not early noticed. Although the treatment varies depending on the size of injury and the time until the injury is noticed, endoscopic and percutaneous interventions are usually sufficient. However, it should be remembered that these interventions may cause major complications in the following years, such as biliary stricture, recurrent episodes of cholangitis and even cirrhosis. In this paper, we aimed to present our approach to BTI following cholecystectomy and our treatment management in the light of the literature.MethodsThe medical records of 105 patients who were treated for BTI between January 2015 and July 2019 were evaluated retrospectively. The majority of the patients consisted of the patients who underwent cholecystectomy at an external medical center and were referred to our clinic due to biliary leakage (BL). Patients were grouped according to Strasberg classification determined by the place of leakage.ResultsAmong 105 patients included in this study, 55 were male, and 50 were female. Mean age was 55.2±16.26 years (range, 21-93 years). According to Strasberg classification, type A, B, C, D and E injuries were detected in 57, 1, 3, 29 and 15 patients, respectively. Eighty-five patients were successfully treated with endoscopic and percutaneous interventions, while 20 patients underwent surgery.ConclusionIn all patients with suspected BTI, a detailed screening and appropriate treatment provide a significant decline in morbidity and mortality. Therefore, early diagnosis is very important for both early and late outcomes.

19 keywords...

hide…