Early versus late intervention in post-cholecystectomy biliary-tract injuries | ||||
The Egyptian Journal of Surgery | ||||
Volume 41, Issue 2, April 2022 PDF (90.65 K) | ||||
DOI: 10.4103/ejs.ejs_99_22 | ||||
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Authors | ||||
Bassem B. Sabet; Hesham A. Reyad; Mohammed K. Eweis; Ahmed Zidan | ||||
Abstract | ||||
Background Bile-duct injury following cholecystectomy is an iatrogenic catastrophe associated with significant perioperative morbidity and mortality that reduced long-term survival and quality of life and high rates of subsequent litigation. It should be regarded as preventable. Aim and objectives This study aims to compare between early and late intervention after post-cholecystectomy biliary-tract injury. Patients and methods This study that is a randomized controlled trial double-blinded arm study was conducted on 40 cases (20 early and 20 late) with post-cholecystectomy biliary-tract injury in Assiut University Hospital, General Surgery Department. Results The two groups exhibited no significant differences in mean operation time (104 min in D group vs. 110 min in N group, =0.098) and estimated blood loss (40 ± 23 ml in D group vs. 41 ± 30 ml in N group, =0.762). Conclusion Timing of repair of bile-duct injury of post-cholecystectomy has no impact on postoperative complications such as hospital stay, long-term morbidity, and mortality. | ||||
Keywords | ||||
bile-duct injuries; timing of repair; Postoperative complications | ||||
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