Results of surgical corrections of iatrogenic bile duct injuries in a hospital in the Brazilian Amazon

Authors

DOI:

https://doi.org/10.33448/rsd-v12i4.40960

Keywords:

Cholecystectomy; Injury; Bile duct.

Abstract

Objective: To evaluate the series of patients undergoing surgical correction of iatrogenic lesions of the bile ducts at the General Surgery Service of Fundação Santa Casa de Misericórdia do Pará (FSCMPA). Data analysis: A retrospective descriptive observational study will be carried out by collecting data from medical records of patients undergoing conventional or laparoscopic cholecystectomy, referred to the FSCMPA, which will be analyzed through expository tables using. Result: 67 biliodigestive derivations were performed, between 2016 and 2022, 17 (25.4%) were due to iatrogenic injuries of the biliary tract, with no deaths recorded between them. Most (14 or 82.4%) were female. 47.1% of the individuals were between 20 and 39 years old. Most patients (12 or 70.6%) did not use blood products, all 17 patients (100%) required postoperative care in an intensive care unit. Final considerations: The data show that the female public was the most affected by injuries, all of them required postoperative care in the ICU. With regard to treatment, in all cases, hepatojejunoanastomosis-type biliodigestive bypass was performed.

References

Alvear-Torres, L. E. & Estrada-Castellanos, A. (2021). Lesão da via biliar, experiência de 3 anos em um centro de referência terciário. Serviço de Gastrocirurgia, Instituto Mexicano de Previdência Social, Centro Médico Nacional Siglo XXI, Hospital de Especialidades Dr. Bernardo Sepúlveda, México, p. 508-516.

Almeida, D. P. A. de, Pedrosa Eugênio, G. G., Holanda, J. B. F., Gomes, M. L. O. B. & Ferreira, S. C. C. (2021). Colecistectomia: técnicas e suas indicações / Cholecystectomy: techniques and their indications. Brazilian Journal of Health Review, 89, 67-86.

Bansal, V. K., et al. (2015) Factors Affecting Short-Term and Long-Term Outcomes After Bilioenteric Reconstruction for Post-cholecystectomy Bile Duct Injury: Experience at a Tertiary Care Centre. Indian J Surg, 77(2), S472-479.

Bharathy, K. G. S., & Negi, S. S. (2014). Postcholecystectomy bile duct injury and its sequelae: Pathogenesis, classification, and management. Indian J Gastroenterol, 33(3), 201–215.

Bonadiman, A, et al. (2019). "Conduta Atual na Colecistite Aguda." Revista Uningá. 56(3), 60-67.

Chaib, E., Kanas, A. F., & Galvao, F. H. F. (2014). Bile duct confluence: anatomic variations and its classification. Surg Radiol Anat., 36, 105-109. https://pubmed.ncbi.nlm.nih.gov/23817807/

Chaudhary, et al. (2015). Biliary Tract Injuries. Hellenic Journal of Surgery, 87(2), 149-155.

Dekker, S. W. A. & Hugh, T. B. (2008). Laparoscopic bile duct injury: understanding the psychology and heuristics of the error. ANZ J Surg., 78, 1109-14

Feng X & Dong J. (2017). Surgical management for bile duct injury. Biosci Trends. 11(4):399-405. 10.5582/bst.2017.01176.

Halbert, C., et al. (2016). Long-term outcomes of patients with common bile duct injury following laparoscopic cholecystectomy. Surg Endosc., 30(10), 4294-4299.

Kapoor, V. K. (2015). Bile duct injury repair earlier is not better. Frontiers of Medicine, 9(4), 508–511. https://doi.org/10.1007/s11684-015-0418-7

Marcel Milcent, E. G. S. & Bravo Neto, G. P. (2005). Iatrogenic Billiary Tract Injury During Laparoscopic Cholecystectomy. Rev. Col. Bras. Cir., 32(6).

Mercado, M.A., et al. (2015). Iatrogenic bile duct injury with loss of confluence. World J Gastrointest Surg, California, 7(10), 254-260.

Pekolj, J., et al. (2015). Major Liver Resection as Definitive Treatment in. Postcholecystectomy Common Bile Duct Injuries. World J Surg, 39, 12161223.

Perrakis, E., et al. (2015). Incidence, Diagnostics and Management of Iatrogenic Bile Duct Injuries: 20 Years Experience in a High Volume Centre. Hellenic Journal of Surgery, 87(2), 144-148, 2015.

Pereira A. S. et al. (2018). Metodologia da pesquisa científica. UFSM. https://www.ufsm.br/app/uploads/sites/358/2019/02/Metodologia-da-Pesquisa-Cientifica_final.pdf

Rystedt, J., et al. (2016). A Bile Duct Injuries Associated With 55,134 Cholecystectomies: Treatment and Outcome from a National Perspective. World J Surg, 40, 73-80.

Sicklick J. K, et al. (2005). Surgical management of bile duct injuries sustained during laparoscopic cholecystectomy: perioperative results in 200 patients. Ann Surg. 241(5):786-92.

Seibert, et al. (2022). Complicações de vias bilia durante colecistectomia em um serviço de referência no Pará (2022) Research, Society and Development, 11(16), e428111637000

Williamson, J. (2014). Lesão das vias biliares após colecistectomia laparoscópica. British Journal of Hospital Medicine, 75(6), 325–330.

Yang S, et al. (2022) Analysis of risk factors for bile duct injury in laparoscopic cholecystectomy in China: A systematic review and meta-analysis. Medicine (Baltimore).

Published

31/03/2023

How to Cite

KALIF, L. da C. .; RODRIGUES, B. C. .; AZEVEDO, V. D. C. de .; PONTES, B. da C. .; SILVA, F. E. R. da . Results of surgical corrections of iatrogenic bile duct injuries in a hospital in the Brazilian Amazon. Research, Society and Development, [S. l.], v. 12, n. 4, p. e9112440960, 2023. DOI: 10.33448/rsd-v12i4.40960. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/40960. Acesso em: 9 jun. 2023.

Issue

Section

Health Sciences