Cholecystectomy-related @entity1157 ( @entity1157 ) remain a cause of significant morbidity and debate concerning optimal management is ongoing. We reviewed our experience with surgical management of @entity1157 to assess patterns of referral along with postoperative and long-term outcomes. During September 1996-August 2013, 35 @entity1 were operated in our tertiary care center for a Bismuth-Strasberg grade >A @entity1157 after a cholecystectomy performed elsewhere. Injury grade distribution was as follows: D, n = 3; E1, n = 4; E2, n = 15; E3, n = 5; E4, n = 5; E5, n = 3. Four @entity1 (11.4%) had an associated @entity1317 (arterial, n = 2; portal, n = 1; both, n = 1). Treatment was direct repair + Kehr drain placement (n = 1), hepaticojejunostomy (n = 28), hepaticojejunostomy + hepatic resection (n = 5), and liver transplantation (n = 1). There was one postoperative death (2.8%) due to @entity1578 after liver resection; severe (Dindo-Clavien grade >= 3b) complications were observed in 12 (34.3%) @entity1 . @entity295 at referral (OR 17.33, p = 0.007) and laparotomy prior to definitive repair (OR 14, p = 0.04) were the factors associated with severe complications. Median follow-up was 81 (range 12-182) months; two @entity1 were lost to follow-up. Treatment failure (defined as need for reoperation or interventional radiology procedure during follow-up) was observed in 7/32 (21.9%) @entity1 . No association between baseline variables and treatment failure was observed. Post-cholecystectomy @entity1157 represent a heterogeneous entity. The whole armamentarium of the hepatobiliary surgeon is required to achieve proper management. @entity1 referred with @entity295 and requiring laparotomy prior to definitive repair are more prone to develop severe complications.

Surgical management of post-cholecystectomy XXXX : referral patterns and factors influencing early and long-term outcome.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis', 'Sepsis'] @entity1157 :: ('MESH:D001649', 'Disease') :: ['bile duct injuries', 'BDI'] @entity1578 :: ('MESH:D017093', 'Disease') :: ['hepatic failure'] @entity1317 :: ('MESH:D057772', 'Disease') :: ['vascular injury']
@entity1157 :: (MESH:D001649,Disease) :: ['bile duct injuries']
