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01-02-2019 | Review Article

Management of Segmental Bile Duct Injuries After Cholecystectomy: a Systematic Review

Authors: Dimitrios Schizas, Dimitrios Papaconstantinou, Dimitrios Moris, Nikolaos Koliakos, Diamantis I. Tsilimigras, Anargyros Bakopoulos, Georgios Karaolanis, Eleftherios Spartalis, Dimitrios Dimitroulis, Evangelos Felekouras

Published in: Journal of Gastrointestinal Surgery | Issue 2/2019

Abstract

Background

Injuries to segmental or aberrant bile ducts are encountered less commonly than their major bile duct counterparts and present a unique diagnostic and therapeutic challenge, since the nature of this injury involves a transected bile duct that loses its communication with the main ductal system. In this systematic review, we aim to pool available data on this particular type of biliary injury in an effort to outline available diagnostic and therapeutic modalities and evaluate their efficacy.

Materials and Methods

An extensive literature search was performed on MEDLINE, Scopus, and Web of Science to identify isolated segmental or aberrant bile duct injuries.

Results

A total of 21 studies were included in this systematic report. Ten studies reported non-operative management of patients, while 12 reported operative management of included patients. Outcomes of interest were the choice of treatment interventions and their success. Overall, 23 patients were managed non-operatively with a 91% success rate and 30 patients were managed operatively with a 90% success rate.

Conclusion

Non-operative management might be a viable alternative to surgery. Hepatobiliary surgeons should be encouraged to publish their results in treating these rare injuries to further elucidate the role and efficacy of such an approach.

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Title: Management of Segmental Bile Duct Injuries After Cholecystectomy: a Systematic Review
Authors: Dimitrios Schizas
Dimitrios Papaconstantinou
Dimitrios Moris
Nikolaos Koliakos
Diamantis I. Tsilimigras
Anargyros Bakopoulos
Georgios Karaolanis
Eleftherios Spartalis
Dimitrios Dimitroulis
Evangelos Felekouras
Publication date: 01-02-2019
Publisher: Springer US
Published in: Journal of Gastrointestinal Surgery / Issue 2/2019
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-018-4027-z

At a glance: The STEP trials

Springer Medicine

Management of Segmental Bile Duct Injuries After Cholecystectomy: a Systematic Review

Abstract

Background

Materials and Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Materials and Methods

Results

Conclusion

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