Liver transplantation for bile duct injury after open and laparoscopic cholecystectomy
Background Bile duct injury (BDI) after cholecystectomy is a serious complication. In a small subset of patients with BDI, failure of surgical or non‐surgical management might lead to acute or chronic liver failure. The aim of this study was to review the indications and outcome of liver transplanta...
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| Veröffentlicht in: | British journal of surgery 2014-01, Vol.101 (2), p.63-68 |
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| creator | Parrilla, P. Robles, R. Varo, E. Jiménez, C. Sánchez-Cabús, S. Pareja, E. |
| description | Background
Bile duct injury (BDI) after cholecystectomy is a serious complication. In a small subset of patients with BDI, failure of surgical or non‐surgical management might lead to acute or chronic liver failure. The aim of this study was to review the indications and outcome of liver transplantation (LT) for BDI after open and laparoscopic cholecystectomy.
Methods
Patients with BDI after cholecystectomy who were on the waiting list for LT between January 1987 and December 2010 were identified from LT centres in Spain. A standardized questionnaire was sent to each unit for extraction of data on diagnosis, previous treatments, indication and outcome of LT for BDI.
Results
Some 27 patients with BDI after cholecystectomy in whom surgical and non‐surgical management for BDI failed were scheduled for LT over the 24‐year interval. Emergency LT for acute liver failure was indicated in seven patients, all after laparoscopic cholecystectomy. Two patients died while on the waiting list and only one patient survived more than 30 days after LT. Elective LT for secondary biliary cirrhosis after a failed hepaticojejunostomy was performed in 13 patients after open and seven after laparoscopic cholecystectomy. One patient from the elective transplantation group died within 30 days of LT. The estimated 5‐year overall survival rate was 68 per cent.
Conclusion
Emergency LT for acute liver failure was more common in patients with BDI after laparoscopic cholecystectomy, and associated with a poor outcome.
Final option for acute and chronic liver failure |
| doi_str_mv | 10.1002/bjs.9349 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4253129</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3169887171</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5099-2e939313a88bc8098178212e4d3a498a89e4fdb2c5511035a51c46b77d6912e13</originalsourceid><addsrcrecordid>eNpd0U1v1DAQBmALgehSkPgFyBKXXtJ6_JHYFyRYlUK1AiFKkbhYjuOlXrJ2sJO2-fd41bJ8nOYwj0Yz7yD0HMgxEEJP2k0-VoyrB2gBrBYVhVo-RAtCSFMBo-wAPcl5QwgwIuhjdEA5A6lqukCXK3_tEh6TCXnoTRjN6GPA65hw63uHu8mO2IfNlGZs1mOhcXABm9Dh3gwmxWzj4C22V7F3ds6js2Pczk_Ro7Xps3t2Xw_Rl7enF8t31erj2fvl61VlBVGqok4xxYAZKVsriZLQSArU8Y4ZrqSRyvF111IrBABhwgiwvG6bpqtVYcAO0au7ucPUbl1nXSiX9HpIfmvSrKPx-t9O8Ff6e7zWnAoGVJUBR_cDUvw5uTzqrc_W9SUKF6esgSvSUKW4KPTlf3QTpxTKeUU1lFAouKgXf2-0X-V35AVUd-Cm5Dvv-0D07pW6vFLvXqnfnH_e1T_el3Bv996kH7puWCP01w9neskuv32S4kJT9gtYn5_K</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1472021149</pqid></control><display><type>article</type><title>Liver transplantation for bile duct injury after open and laparoscopic cholecystectomy</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Parrilla, P. ; Robles, R. ; Varo, E. ; Jiménez, C. ; Sánchez-Cabús, S. ; Pareja, E.</creator><creatorcontrib>Parrilla, P. ; Robles, R. ; Varo, E. ; Jiménez, C. ; Sánchez-Cabús, S. ; Pareja, E. ; Spanish Liver Transplantation Study Group</creatorcontrib><description>Background
Bile duct injury (BDI) after cholecystectomy is a serious complication. In a small subset of patients with BDI, failure of surgical or non‐surgical management might lead to acute or chronic liver failure. The aim of this study was to review the indications and outcome of liver transplantation (LT) for BDI after open and laparoscopic cholecystectomy.
Methods
Patients with BDI after cholecystectomy who were on the waiting list for LT between January 1987 and December 2010 were identified from LT centres in Spain. A standardized questionnaire was sent to each unit for extraction of data on diagnosis, previous treatments, indication and outcome of LT for BDI.
Results
Some 27 patients with BDI after cholecystectomy in whom surgical and non‐surgical management for BDI failed were scheduled for LT over the 24‐year interval. Emergency LT for acute liver failure was indicated in seven patients, all after laparoscopic cholecystectomy. Two patients died while on the waiting list and only one patient survived more than 30 days after LT. Elective LT for secondary biliary cirrhosis after a failed hepaticojejunostomy was performed in 13 patients after open and seven after laparoscopic cholecystectomy. One patient from the elective transplantation group died within 30 days of LT. The estimated 5‐year overall survival rate was 68 per cent.
Conclusion
Emergency LT for acute liver failure was more common in patients with BDI after laparoscopic cholecystectomy, and associated with a poor outcome.
Final option for acute and chronic liver failure</description><identifier>ISSN: 0007-1323</identifier><identifier>EISSN: 1365-2168</identifier><identifier>DOI: 10.1002/bjs.9349</identifier><identifier>PMID: 24318962</identifier><identifier>CODEN: BJSUAM</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Adult ; Aged ; Bile ; Bile Ducts - injuries ; Cholecystectomy - adverse effects ; Cholecystectomy - mortality ; Cholecystectomy, Laparoscopic - adverse effects ; Cholecystectomy, Laparoscopic - mortality ; Emergency Treatment ; Female ; Gallstones ; Humans ; Liver ; Liver Cirrhosis, Biliary - mortality ; Liver Cirrhosis, Biliary - surgery ; Liver Failure, Acute - etiology ; Liver Failure, Acute - mortality ; Liver Transplantation - mortality ; Male ; Middle Aged ; Original ; Patients ; Retrospective Studies ; Spain - epidemiology ; Time-to-Treatment</subject><ispartof>British journal of surgery, 2014-01, Vol.101 (2), p.63-68</ispartof><rights>2013 The Authors. published by John Wiley & Sons Ltd on behalf of BJS Society Ltd</rights><rights>2013 The Authors. BJS published by John Wiley & Sons Ltd on behalf of BJS Society Ltd.</rights><rights>2013 BJS Society Ltd. Published by John Wiley & Sons Ltd</rights><rights>2013 The Authors. published by John Wiley & Sons Ltd on behalf of BJS Society Ltd 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5099-2e939313a88bc8098178212e4d3a498a89e4fdb2c5511035a51c46b77d6912e13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fbjs.9349$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fbjs.9349$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24318962$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Parrilla, P.</creatorcontrib><creatorcontrib>Robles, R.</creatorcontrib><creatorcontrib>Varo, E.</creatorcontrib><creatorcontrib>Jiménez, C.</creatorcontrib><creatorcontrib>Sánchez-Cabús, S.</creatorcontrib><creatorcontrib>Pareja, E.</creatorcontrib><creatorcontrib>Spanish Liver Transplantation Study Group</creatorcontrib><title>Liver transplantation for bile duct injury after open and laparoscopic cholecystectomy</title><title>British journal of surgery</title><addtitle>Br J Surg</addtitle><description>Background
Bile duct injury (BDI) after cholecystectomy is a serious complication. In a small subset of patients with BDI, failure of surgical or non‐surgical management might lead to acute or chronic liver failure. The aim of this study was to review the indications and outcome of liver transplantation (LT) for BDI after open and laparoscopic cholecystectomy.
Methods
Patients with BDI after cholecystectomy who were on the waiting list for LT between January 1987 and December 2010 were identified from LT centres in Spain. A standardized questionnaire was sent to each unit for extraction of data on diagnosis, previous treatments, indication and outcome of LT for BDI.
Results
Some 27 patients with BDI after cholecystectomy in whom surgical and non‐surgical management for BDI failed were scheduled for LT over the 24‐year interval. Emergency LT for acute liver failure was indicated in seven patients, all after laparoscopic cholecystectomy. Two patients died while on the waiting list and only one patient survived more than 30 days after LT. Elective LT for secondary biliary cirrhosis after a failed hepaticojejunostomy was performed in 13 patients after open and seven after laparoscopic cholecystectomy. One patient from the elective transplantation group died within 30 days of LT. The estimated 5‐year overall survival rate was 68 per cent.
Conclusion
Emergency LT for acute liver failure was more common in patients with BDI after laparoscopic cholecystectomy, and associated with a poor outcome.
Final option for acute and chronic liver failure</description><subject>Adult</subject><subject>Aged</subject><subject>Bile</subject><subject>Bile Ducts - injuries</subject><subject>Cholecystectomy - adverse effects</subject><subject>Cholecystectomy - mortality</subject><subject>Cholecystectomy, Laparoscopic - adverse effects</subject><subject>Cholecystectomy, Laparoscopic - mortality</subject><subject>Emergency Treatment</subject><subject>Female</subject><subject>Gallstones</subject><subject>Humans</subject><subject>Liver</subject><subject>Liver Cirrhosis, Biliary - mortality</subject><subject>Liver Cirrhosis, Biliary - surgery</subject><subject>Liver Failure, Acute - etiology</subject><subject>Liver Failure, Acute - mortality</subject><subject>Liver Transplantation - mortality</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>Spain - epidemiology</subject><subject>Time-to-Treatment</subject><issn>0007-1323</issn><issn>1365-2168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNpd0U1v1DAQBmALgehSkPgFyBKXXtJ6_JHYFyRYlUK1AiFKkbhYjuOlXrJ2sJO2-fd41bJ8nOYwj0Yz7yD0HMgxEEJP2k0-VoyrB2gBrBYVhVo-RAtCSFMBo-wAPcl5QwgwIuhjdEA5A6lqukCXK3_tEh6TCXnoTRjN6GPA65hw63uHu8mO2IfNlGZs1mOhcXABm9Dh3gwmxWzj4C22V7F3ds6js2Pczk_Ro7Xps3t2Xw_Rl7enF8t31erj2fvl61VlBVGqok4xxYAZKVsriZLQSArU8Y4ZrqSRyvF111IrBABhwgiwvG6bpqtVYcAO0au7ucPUbl1nXSiX9HpIfmvSrKPx-t9O8Ff6e7zWnAoGVJUBR_cDUvw5uTzqrc_W9SUKF6esgSvSUKW4KPTlf3QTpxTKeUU1lFAouKgXf2-0X-V35AVUd-Cm5Dvv-0D07pW6vFLvXqnfnH_e1T_el3Bv996kH7puWCP01w9neskuv32S4kJT9gtYn5_K</recordid><startdate>201401</startdate><enddate>201401</enddate><creator>Parrilla, P.</creator><creator>Robles, R.</creator><creator>Varo, E.</creator><creator>Jiménez, C.</creator><creator>Sánchez-Cabús, S.</creator><creator>Pareja, E.</creator><general>John Wiley & Sons, Ltd</general><general>Oxford University Press</general><scope>BSCLL</scope><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201401</creationdate><title>Liver transplantation for bile duct injury after open and laparoscopic cholecystectomy</title><author>Parrilla, P. ; Robles, R. ; Varo, E. ; Jiménez, C. ; Sánchez-Cabús, S. ; Pareja, E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5099-2e939313a88bc8098178212e4d3a498a89e4fdb2c5511035a51c46b77d6912e13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Bile</topic><topic>Bile Ducts - injuries</topic><topic>Cholecystectomy - adverse effects</topic><topic>Cholecystectomy - mortality</topic><topic>Cholecystectomy, Laparoscopic - adverse effects</topic><topic>Cholecystectomy, Laparoscopic - mortality</topic><topic>Emergency Treatment</topic><topic>Female</topic><topic>Gallstones</topic><topic>Humans</topic><topic>Liver</topic><topic>Liver Cirrhosis, Biliary - mortality</topic><topic>Liver Cirrhosis, Biliary - surgery</topic><topic>Liver Failure, Acute - etiology</topic><topic>Liver Failure, Acute - mortality</topic><topic>Liver Transplantation - mortality</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>Spain - epidemiology</topic><topic>Time-to-Treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Parrilla, P.</creatorcontrib><creatorcontrib>Robles, R.</creatorcontrib><creatorcontrib>Varo, E.</creatorcontrib><creatorcontrib>Jiménez, C.</creatorcontrib><creatorcontrib>Sánchez-Cabús, S.</creatorcontrib><creatorcontrib>Pareja, E.</creatorcontrib><creatorcontrib>Spanish Liver Transplantation Study Group</creatorcontrib><collection>Istex</collection><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Parrilla, P.</au><au>Robles, R.</au><au>Varo, E.</au><au>Jiménez, C.</au><au>Sánchez-Cabús, S.</au><au>Pareja, E.</au><aucorp>Spanish Liver Transplantation Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Liver transplantation for bile duct injury after open and laparoscopic cholecystectomy</atitle><jtitle>British journal of surgery</jtitle><addtitle>Br J Surg</addtitle><date>2014-01</date><risdate>2014</risdate><volume>101</volume><issue>2</issue><spage>63</spage><epage>68</epage><pages>63-68</pages><issn>0007-1323</issn><eissn>1365-2168</eissn><coden>BJSUAM</coden><abstract>Background
Bile duct injury (BDI) after cholecystectomy is a serious complication. In a small subset of patients with BDI, failure of surgical or non‐surgical management might lead to acute or chronic liver failure. The aim of this study was to review the indications and outcome of liver transplantation (LT) for BDI after open and laparoscopic cholecystectomy.
Methods
Patients with BDI after cholecystectomy who were on the waiting list for LT between January 1987 and December 2010 were identified from LT centres in Spain. A standardized questionnaire was sent to each unit for extraction of data on diagnosis, previous treatments, indication and outcome of LT for BDI.
Results
Some 27 patients with BDI after cholecystectomy in whom surgical and non‐surgical management for BDI failed were scheduled for LT over the 24‐year interval. Emergency LT for acute liver failure was indicated in seven patients, all after laparoscopic cholecystectomy. Two patients died while on the waiting list and only one patient survived more than 30 days after LT. Elective LT for secondary biliary cirrhosis after a failed hepaticojejunostomy was performed in 13 patients after open and seven after laparoscopic cholecystectomy. One patient from the elective transplantation group died within 30 days of LT. The estimated 5‐year overall survival rate was 68 per cent.
Conclusion
Emergency LT for acute liver failure was more common in patients with BDI after laparoscopic cholecystectomy, and associated with a poor outcome.
Final option for acute and chronic liver failure</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>24318962</pmid><doi>10.1002/bjs.9349</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0007-1323 |
| ispartof | British journal of surgery, 2014-01, Vol.101 (2), p.63-68 |
| issn | 0007-1323 1365-2168 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4253129 |
| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged Bile Bile Ducts - injuries Cholecystectomy - adverse effects Cholecystectomy - mortality Cholecystectomy, Laparoscopic - adverse effects Cholecystectomy, Laparoscopic - mortality Emergency Treatment Female Gallstones Humans Liver Liver Cirrhosis, Biliary - mortality Liver Cirrhosis, Biliary - surgery Liver Failure, Acute - etiology Liver Failure, Acute - mortality Liver Transplantation - mortality Male Middle Aged Original Patients Retrospective Studies Spain - epidemiology Time-to-Treatment |
| title | Liver transplantation for bile duct injury after open and laparoscopic cholecystectomy |
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