Morbility due to Bile Duct Lesion in a Surgery Service

Abstract

Introduction: Iatrogenic bile duct lesions represent a serious surgical complication of cholecystectomy.

Objective: To determine the morbility of bile duct lesions in the surgical service of Hospital Universitario “Manuel Ascunce Domenech”.

Methods: A descriptive, prospective and observational study was carried out with patients admitted to the surgery service of Hospital Universitario “Manuel Ascunce Domenech” with a diagnosis of bile duct lesion, from September 2018 to January 2022. The study universe consisted of twelve patients who met the inclusion criteria. Descriptive statistical methods and calculations with percentage values were used.

Results: The highest incidence of patients corresponded to the female sex and the white skin, accounting for 61.4 % and 85.7%, respectively. Conventional surgery and intraoperative diagnosis predominated, accounting for 66.7 % and 50 %, respectively. Types E1 and E2 according to the Strasberg classification, together with hepaticojejunostomy, was the most frequent surgery type, accounting for 66.7 %. Biliary bleeding was the predominant complication, accounting for 70 %.

Conclusions: Most of the patients belong to the female sex and have white skin, in which cases conventional surgery and intraoperative diagnosis are the most frequent findings. More than half of the patients are classified as types E1 or E2 according to the Strasberg classification. Transmesocolic Braun loop and Roux-en-Y hepaticojejunostomy is the procedure performed in almost all patients. Biliary leakage is the most frequent complication.

Keywords: bile duct lesion; morbility; bile duct iatrogenesis; biliary bleeding; postoperative stenosis.