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Revisional surgery for recurrent benign bile duct strictures

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Summary

Background

Bile duct injuries during cholecystectomy are not rare and may have significant long-term morbidity. Treatment of these injuries is complex and needs a multidisciplinary approach. This study aims to evaluate the results of revisional surgery performed for recurrent biliary strictures that developed after a prior repair.

Methods

Patients who had been surgically treated for a major biliary injury during open or laparoscopic cholecystectomy and operated on for recurrent stricture in our institute were reviewed retrospectively. A total of 11 patients who were referred to the surgery clinic were included.

Results

The median length of stay after revisional surgery was 9 days (range 5–30 days). Five patients (45%) had experienced at least one postoperative complication. The median follow-up period was 36 months (range 5–69 months). Terblanche clinical scores of all patients were 1 or 2 at their last clinical visit. None of the 11 patients required reoperation and no mortality was seen during the postoperative period.

Conclusion

Although revisional biliary surgery for recurrent biliary strictures is a challenging procedure, these revisions can be performed with favorable results. Meticulous preoperative evaluation and implementation of precise surgical technique are essential to achieve long-term success.

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Abbreviations

BDI:

Bile duct injury

CT:

Computed tomography

ERCP:

Endoscopic retrograde cholangiopancreatography

HPB:

Hepatopancreaticobiliary

MRCP:

Magnetic resonance cholangiopancreatography

PTC:

Percutaneous transhepatic cholangiography

RFA:

Radiofrequency ablation

US:

Ultrasonography

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Authors and Affiliations

  1. Department of General Surgery, Hacettepe University Faculty of Medicine, Sihhiye, 06100, Ankara, Turkey

    Timucin Erol,  Ahmet Dogrul &  Osman Abbasoglu

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  1. Timucin Erol
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  2. Ahmet Dogrul
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Correspondence to Timucin Erol.

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T. Erol, A. Dogrul and O. Abbasoglu declare that they have no competing interests.

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Erol, T., Dogrul, A. & Abbasoglu, O. Revisional surgery for recurrent benign bile duct strictures. Eur Surg 53, 299–304 (2021). https://doi.org/10.1007/s10353-020-00667-8

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