Bile Duct Injury
Conditions
Keywords
bile duct injury, surgery, laparoscopy, cholecystectomy, Bile duct stricture
Brief summary
The bile duct injury is a complication that occurs mainly after the cholecystectomy. Bile duct stricture is one of complications of this unwitting iatrogenic injury, the outcomes of surgery in this case are worse when the level of the stricture is above the helium. So what are factors influencing the occurrence of this high level bile duct obstruction ?
Detailed description
The objective of this study was to answer a simple question, what are the factors influencing the occurrence of high level -called hilar biliary stricture? To answer this question, a retrospective study was carried out on the files of patients operated for biliary stenosis after operative trauma of the bile ducts in our department over a period from January 2010 to May 2018. Only patients operated in biliary stricture (Grade E Strasberg) was included. A univariate and muntivariate logistic regression analysis was performed to determine the factors influencing the occurrence of hilar stenosis. data entry and analysis was done using SPSS V20.0 software.
Interventions
DIAGNOSTIC_TESTBiliary RMI and CT scan.
For a good appreciation of the anatomy of the biliary lesion, an MRI was systematically performed on all our patients. For a good appreciation of the presence of an associated vascular lesion, a CT-scan was systematically performed on all our patients.
Sponsors
University of Oran 1
Study design
Observational model
OTHER
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* all cases with biliary stricture following an operative bile duct injury.
Exclusion criteria
* cases of biliary stricture following an non operative bile duct injury (Blind or penetrating abdominal trauma , radiological or endoscopic maneuvers). * cases of biliary stricture following hepatectomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Factors influencing occurrence of hilar stricture (E3,E4,E5) | from the date of the surgery that caused the biliary injury to the date of transfer to our structure for treatment. in our series, the period varies from 8 weeks to 10 years after the occurrence of operative bile duct injury during initial surgery. | all the variables related to the patient, his disease and the course of the surgical intervention which caused the biliary trauma was recorded. |
Countries
Algeria
Outcome results
None listed