@entity1157 following cholecystectomy is an iatrogenic catastrophe associated with significant perioperative morbidity, reduced long-term survival and quality of life. There has been little literature on the long-term outcomes after surgical reconstruction and factors affecting it. The aim of this study was to study factors affecting long-term outcomes following surgical repair of iatrogenic @entity1157 being referred to a tertiary care centre. Between January 2005 to December 2011, 138 @entity1 with @entity1157 were treated in a single surgical unit in a tertiary care referral hospital. Preoperative details were recorded. After initial resuscitation, any intra-abdominal collection was drained and an imaging of biliary anatomy was done. Once the general condition of the @entity1 improved, @entity1 were taken up for a side-to-side extended left duct hepaticojejunostomy. The post-operative outcomes were recorded and a hepatobiliary @entity11058 scan and liver function tests were done, and then the @entity1 were followed up at regular intervals. Clinical outcome was evaluated according to clinical grades described by Terblanche and Worthley (Surgery 108:828-834, 1990). The variables were compared using chi-square, unpaired Student's t test and Fisher's exact test. A two-tailed p value of <0.05 was considered significant. One hundred thirty-eight @entity1 , 106 (76.8  %) females and 32 (23.2  %) males with an age range of 20-63  years (median 40.8        SD) with @entity1157 following open or laparoscopic cholecystectomy, were operated during this period. Majority of the @entity1 [83 (60.1  %)] had a delayed presentation of more than 3  months. Based on imaging, Strasburg type E1 was seen in 17 (12.5  %), type E2 in 30 (21.7  %), type E3 in 85 (61.5  %) and type E4 in 6 (4.3  %). On multivariate analysis, only level of injury, longer duration of referral and associated @entity1317 were independently associated with an overall poor long-term outcome. This study demonstrates level of injury at or above the confluence; associated @entity1317 and delay in referral were associated with poorer outcomes in long-term follow-up; however, almost all @entity1 had excellent outcome in long-term follow-up.

Factors Affecting Short-Term and Long-Term Outcomes After Bilioenteric Reconstruction for Post-cholecystectomy XXXX : Experience at a Tertiary Care Centre.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1157 :: ('MESH:D001649', 'Disease') :: ['bile duct injury', 'Bile duct injury'] @entity1317 :: ('MESH:D057772', 'Disease') :: ['vascular injury'] @entity11058 :: ('MESH:C008109', 'Chemical') :: ['iminodiacetic acid']
@entity1157 :: (MESH:D001649,Disease) :: ['Bile Duct Injury']
