Timing of surgical repair of bile duct injuries after laparoscopic cholecystectomy: A systematic review.
Bile duct injury
Biliary reconstruction
Delayed repair
Early repair
Immediate repair
Laparoscopic cholecystectomy
Late repair
Major bile duct injury
Standardization of bile duct injury repair reporting
Surgical repair
Journal
World journal of hepatology
ISSN: 1948-5182
Titre abrégé: World J Hepatol
Pays: United States
ID NLM: 101532469
Informations de publication
Date de publication:
27 Feb 2022
27 Feb 2022
Historique:
received:
19
06
2021
revised:
02
10
2021
accepted:
10
02
2022
entrez:
23
3
2022
pubmed:
24
3
2022
medline:
24
3
2022
Statut:
ppublish
Résumé
The surgical management of bile duct injuries (BDIs) after laparoscopic cholecystectomy (LC) is challenging and the optimal timing of surgery remains unclear. The primary aim of this study was to systematically evaluate the evidence behind the timing of BDI repair after LC in the literature. To assess timing of surgical repair of BDI and postoperative complications. The MEDLINE, EMBASE, and The Cochrane Library databases were systematically screened up to August 2021. Risk of bias was assessed A total of 439 abstracts were screened, and 24 studies were included with 15609 patients included in this review. Of the 5229 BDIs reported, 4934 (94%) were classified as major injury. Timing of bile duct repair was immediate (14%, The lack of standardization among studies precludes any conclusive recommendation on optimal timing of BDI repair after LC. This finding indicates an urgent need for a standardized reporting system of BDI repair.
Sections du résumé
BACKGROUND
BACKGROUND
The surgical management of bile duct injuries (BDIs) after laparoscopic cholecystectomy (LC) is challenging and the optimal timing of surgery remains unclear. The primary aim of this study was to systematically evaluate the evidence behind the timing of BDI repair after LC in the literature.
AIM
OBJECTIVE
To assess timing of surgical repair of BDI and postoperative complications.
METHODS
METHODS
The MEDLINE, EMBASE, and The Cochrane Library databases were systematically screened up to August 2021. Risk of bias was assessed
RESULTS
RESULTS
A total of 439 abstracts were screened, and 24 studies were included with 15609 patients included in this review. Of the 5229 BDIs reported, 4934 (94%) were classified as major injury. Timing of bile duct repair was immediate (14%,
CONCLUSION
CONCLUSIONS
The lack of standardization among studies precludes any conclusive recommendation on optimal timing of BDI repair after LC. This finding indicates an urgent need for a standardized reporting system of BDI repair.
Identifiants
pubmed: 35317176
doi: 10.4254/wjh.v14.i2.442
pmc: PMC8891678
doi:
Types de publication
Journal Article
Langues
eng
Pagination
442-455Informations de copyright
©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict-of-interest statement: All the authors declare no conflict of interest for this article.
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