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Injury to Segmental Bile Ducts: A Reappraisal

Injury to Segmental Bile Ducts: A Reappraisal Abstract • No principles have so far been applied to the management advocated for injuries to segmental bile ducts. On the basis of experimental data and clinical evidence related to the pathophysiological sequelae of segmental bile duct obstruction, and given the potentially harmful complications of reconstructive surgery in combination with its uncertain outcome, it is suggested that simple ligation of injured segmental ducts is the treatment of choice, irrespective of their size. (Arch Surg 1988;123:351-353) References 1. Johnston GW: Iatrogenic bile duct stricture: An avoidable surgical hazard? Br J Surg 1986;73:245-247.Crossref 2. Kune GA: The influence of structure and function in the surgery of the biliary tract . Ann R Coll Surg Engl 1970;47:78-91. 3. Knight M: Anomalies of the gall bladder, bile ducts and arteries , in Smith R, Sherlock S (eds): Surgery of the Gallbladder and Bile Ducts . Woburn, Mass, Butterworths, 1981, pp 97-116. 4. Braasch JW: Postoperative strictures of the bile duct , in Schwartz SI, Ellis H (eds): Maingot's Abdominal Operations , ed 8. East Norwalk, Conn, Appleton-Century-Crofts, 1985, pp 1951-1978. 5. Schwartz SI: Anatomy of the extrahepatic biliary tract , in Schwartz SI, Ellis H (eds): Maingot's Abdominal Operations , ed 8. East Norwalk, Conn, Appleton-Century-Crofts, 1985, pp 1753-1768. 6. Goor DA, Ebert PA: Anomalies of the biliary tree: Report of a repair of an accessory bile duct and review of the literature . Arch Surg 1972;104:302-309.Crossref 7. Thompson RW, Schuler JG: Bile peritonitis from a cholecystohepatic bile ductule: An unusual complication of cholecystectomy . Surgery 1986;99: 511-513. 8. Kune GA, Sali A: The Practice of Biliary Surgery , ed 2. Boston, Blackwell Scientific Publications Inc, 1981, pp 194-195. 9. Benson EA, Page RE: A practical reappraisal of the anatomy of the extrahepatic bile ducts and arteries . Br J Surg 1976;63:853-860.Crossref 10. Hayes MA, Goldenberg IS, Bishop CC: The developmental basis for bile duct anomalies . Surg Gynecol Obstet 1958;107:447-456. 11. Paul M: An important anomaly of the right hepatic duct and its bearing on the operation of cholecystectomy . Br J Surg 1948;35:383-385.Crossref 12. Braasch JW: Segmental surgical disease of the liver . Ann Surg 1968;168:110-115.Crossref 13. Healey JE, Schroy PC: Anatomy of the biliary ducts within the human liver . Arch Surg 1953;66:599-616.Crossref 14. Moosman DA, Coller FA: Prevention of traumatic injury to the bile ducts . Am J Surg 1951;82:132-143.Crossref 15. Flint ER: Abnormalities of the right hepatic, cystic, and gastroduodenal arteries, and the bile ducts . Br J Surg 1923;10:509-519.Crossref 16. Rous P, Larimore LD: The biliary factor in liver lesions . J Exp Med 1920;32:249-272.Crossref 17. Swanson EA, Millians WS, Sotus PC, et al: Liver cell regeneration and degeneration after lobar biliary obstruction in dogs . Am J Gastroenterol 1967;47:280-286. 18. Stewart HL, Cantarow A, Morgan DR: Changes in the liver of the cat following ligation of single hepatic ducts . Arch Surg 1937;23:641-652. 19. Schalm L, Bax HR, Mansens BJ: Atrophy of the liver after occlusion of the bile ducts or portal vein and compensatory hypertrophy of the unoccluded portion and its clinical importance . Gastroenterology 1956;31: 131-155. 20. Braasch JW, Preble HE: Unilateral hepatic duct obstruction . Ann Surg 1963;158:17-19.Crossref 21. Longmire WP, Tompkins RK: Lesions of the segmental and lobar hepatic ducts . Ann Surg 1975;182:478-495.Crossref 22. Bismuth H, Malt RA: Carcinoma of the biliary tract . N Engl J Med 1979;301:704-706.Crossref 23. adjis NS, Blumgart LH: Liver hyperplasia, hypertrophy and atrophy: Clinical relevance , in Blumgart LH (ed): Surgery of the Liver and Biliary Tract . New York, Churchill Livingstone Inc, in press. 24. Weinbren K, Hadjis NS, Blumgart LH: Structural aspects of the liver in patients with biliary disease and portal hypertension . J Clin Pathol 1985;38:1013-1020.Crossref 25. Thorbjarnarson B: Carcinoma of the intrahepatic bile ducts . Arch Surg 1958;77:908-917.Crossref 26. Foster JH, Wayson EE: Surgical significance of aberrant bile ducts . Am J Surg 1962;104:14-19.Crossref 27. Weeder SD: Choledochus cyst with a double common bile duct . Ann Surg 1939;110:55-59.Crossref 28. Neuhof H, Bloomfield S: The surgical significance of an anomalous cholecystohepatic duct . Ann Surg 1945;122:260-265.Crossref 29. Sewell JH: Avulsion of the left hepatic duct . Ann Surg 1967; 165:628-631.Crossref 30. Marshall JM: Tumors of the bile ducts . Surg Gynecol Obstet 1932; 54:6-12. 31. Blenkharn JI, McPherson GAD, Blumgart LH: Septic complications of percutaneous transhepatic biliary drainage: Evaluation of a new closed drainage system . Am J Surg 1984;147:318-321.Crossref 32. Keighley MRB, Blenkharn JI: Infection and the biliary tree , in Blumgart LH (ed): Surgery of the Liver and Biliary Tract . New York, Churchill Livingstone Inc, in press. 33. Lahey FH: Further experiences with injured bile ducts . N Engl J Med 1949;240:161-168.Crossref 34. Cattell RB, in discussion, Longmire WP, Sanford MC: Intrahepatic cholangiojejunostomy for biliary obstruction . Ann Surg 1949;130:455-465.Crossref 35. Cole W, in discussion, Longmire WP, Sanford MC: Intrahepatic cholangiojejunostomy for biliary obstruction . Ann Surg 1949;130:455-465.Crossref 36. Chen HH, Zhang WH, Wang SS: Twenty-two—year experience with the diagnosis and treatment of intrahepatic calculi . Surg Gynecol Obstet 1984;159:519-524. 37. Hadjis NS, Hemingway A, Carr D, et al: Liver lobe disparity consequent on atrophy: Diagnostic, operative and therapeutic considerations . J Hepatol 1986;3:285-293.Crossref 38. Hadjis NS, Blumgart LH: The role of liver atrophy and hepatic resection in the development of portal hypertension in biliary disease. Gut, in press. 39. Hadjis NS, Carr D, Blenkharn I, et al: Expectant management of patients with unilateral hepatic duct stricture and liver atrophy . Gut 1986;27:1223-1227.Crossref 40. Thorbjarnarson B, Glenn F: Complications of biliary tract surgery . Surg Clin North Am 1964;44:432-447. 41. Maingot R: Injuries of the biliary tract, including operative and postoperative complications , in Smith R, Sherlock S (eds): Surgery of the Gallbladder and Bile Ducts . Woburn, Mass, Butterworths, 1964, pp 264-296. 42. Kune GA: Bile duct injury during cholecystectomy: Causes, prevention and surgical repair in 1979 . Aust NZ J Surg 1979;49:35-40.Crossref 43. Wapshaw H: Repair of a damaged accessory hepatic duct by anastomosis with cystic duct . Br Med J 1952;1:906.Crossref 44. McPherson GAD, Kelley CJ, Blumgart LH: Gastrointestinal bleeding: A pitfall in the construction of a Roux loop . J R Coll Surg Edinb 1984;29:190-191. 45. McArthur MS, Longmire WP: Peptic ulcer disease after choledochojejunostomy . Am J Surg 1971;122:155-158.Crossref 46. Pappalardo G, Correnti S, Mobarhan S, et al: Long-term results of Roux-en-Y hepaticojejunostomy and hepaticojejunoduodenostomy . Ann Surg 1982;196:149-152.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Injury to Segmental Bile Ducts: A Reappraisal

Hadjis, Nicholas S.; Blumgart, Leslie H.
Archives of Surgery , Volume 123 (3) – Mar 1, 1988
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References (51)

Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1988.01400270085013
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Abstract

Abstract • No principles have so far been applied to the management advocated for injuries to segmental bile ducts. On the basis of experimental data and clinical evidence related to the pathophysiological sequelae of segmental bile duct obstruction, and given the potentially harmful complications of reconstructive surgery in combination with its uncertain outcome, it is suggested that simple ligation of injured segmental ducts is the treatment of choice, irrespective of their size. (Arch Surg 1988;123:351-353) References 1. Johnston GW: Iatrogenic bile duct stricture: An avoidable surgical hazard? Br J Surg 1986;73:245-247.Crossref 2. Kune GA: The influence of structure and function in the surgery of the biliary tract . Ann R Coll Surg Engl 1970;47:78-91. 3. Knight M: Anomalies of the gall bladder, bile ducts and arteries , in Smith R, Sherlock S (eds): Surgery of the Gallbladder and Bile Ducts . Woburn, Mass, Butterworths, 1981, pp 97-116. 4. Braasch JW: Postoperative strictures of the bile duct , in Schwartz SI, Ellis H (eds): Maingot's Abdominal Operations , ed 8. East Norwalk, Conn, Appleton-Century-Crofts, 1985, pp 1951-1978. 5. Schwartz SI: Anatomy of the extrahepatic biliary tract , in Schwartz SI, Ellis H (eds): Maingot's Abdominal Operations , ed 8. East Norwalk, Conn, Appleton-Century-Crofts, 1985, pp 1753-1768. 6. Goor DA, Ebert PA: Anomalies of the biliary tree: Report of a repair of an accessory bile duct and review of the literature . Arch Surg 1972;104:302-309.Crossref 7. Thompson RW, Schuler JG: Bile peritonitis from a cholecystohepatic bile ductule: An unusual complication of cholecystectomy . Surgery 1986;99: 511-513. 8. Kune GA, Sali A: The Practice of Biliary Surgery , ed 2. Boston, Blackwell Scientific Publications Inc, 1981, pp 194-195. 9. Benson EA, Page RE: A practical reappraisal of the anatomy of the extrahepatic bile ducts and arteries . Br J Surg 1976;63:853-860.Crossref 10. Hayes MA, Goldenberg IS, Bishop CC: The developmental basis for bile duct anomalies . Surg Gynecol Obstet 1958;107:447-456. 11. Paul M: An important anomaly of the right hepatic duct and its bearing on the operation of cholecystectomy . Br J Surg 1948;35:383-385.Crossref 12. Braasch JW: Segmental surgical disease of the liver . Ann Surg 1968;168:110-115.Crossref 13. Healey JE, Schroy PC: Anatomy of the biliary ducts within the human liver . Arch Surg 1953;66:599-616.Crossref 14. Moosman DA, Coller FA: Prevention of traumatic injury to the bile ducts . Am J Surg 1951;82:132-143.Crossref 15. Flint ER: Abnormalities of the right hepatic, cystic, and gastroduodenal arteries, and the bile ducts . Br J Surg 1923;10:509-519.Crossref 16. Rous P, Larimore LD: The biliary factor in liver lesions . J Exp Med 1920;32:249-272.Crossref 17. Swanson EA, Millians WS, Sotus PC, et al: Liver cell regeneration and degeneration after lobar biliary obstruction in dogs . Am J Gastroenterol 1967;47:280-286. 18. Stewart HL, Cantarow A, Morgan DR: Changes in the liver of the cat following ligation of single hepatic ducts . Arch Surg 1937;23:641-652. 19. Schalm L, Bax HR, Mansens BJ: Atrophy of the liver after occlusion of the bile ducts or portal vein and compensatory hypertrophy of the unoccluded portion and its clinical importance . Gastroenterology 1956;31: 131-155. 20. Braasch JW, Preble HE: Unilateral hepatic duct obstruction . Ann Surg 1963;158:17-19.Crossref 21. Longmire WP, Tompkins RK: Lesions of the segmental and lobar hepatic ducts . Ann Surg 1975;182:478-495.Crossref 22. Bismuth H, Malt RA: Carcinoma of the biliary tract . N Engl J Med 1979;301:704-706.Crossref 23. adjis NS, Blumgart LH: Liver hyperplasia, hypertrophy and atrophy: Clinical relevance , in Blumgart LH (ed): Surgery of the Liver and Biliary Tract . New York, Churchill Livingstone Inc, in press. 24. Weinbren K, Hadjis NS, Blumgart LH: Structural aspects of the liver in patients with biliary disease and portal hypertension . J Clin Pathol 1985;38:1013-1020.Crossref 25. Thorbjarnarson B: Carcinoma of the intrahepatic bile ducts . Arch Surg 1958;77:908-917.Crossref 26. Foster JH, Wayson EE: Surgical significance of aberrant bile ducts . Am J Surg 1962;104:14-19.Crossref 27. Weeder SD: Choledochus cyst with a double common bile duct . Ann Surg 1939;110:55-59.Crossref 28. Neuhof H, Bloomfield S: The surgical significance of an anomalous cholecystohepatic duct . Ann Surg 1945;122:260-265.Crossref 29. Sewell JH: Avulsion of the left hepatic duct . Ann Surg 1967; 165:628-631.Crossref 30. Marshall JM: Tumors of the bile ducts . Surg Gynecol Obstet 1932; 54:6-12. 31. Blenkharn JI, McPherson GAD, Blumgart LH: Septic complications of percutaneous transhepatic biliary drainage: Evaluation of a new closed drainage system . Am J Surg 1984;147:318-321.Crossref 32. Keighley MRB, Blenkharn JI: Infection and the biliary tree , in Blumgart LH (ed): Surgery of the Liver and Biliary Tract . New York, Churchill Livingstone Inc, in press. 33. Lahey FH: Further experiences with injured bile ducts . N Engl J Med 1949;240:161-168.Crossref 34. Cattell RB, in discussion, Longmire WP, Sanford MC: Intrahepatic cholangiojejunostomy for biliary obstruction . Ann Surg 1949;130:455-465.Crossref 35. Cole W, in discussion, Longmire WP, Sanford MC: Intrahepatic cholangiojejunostomy for biliary obstruction . Ann Surg 1949;130:455-465.Crossref 36. Chen HH, Zhang WH, Wang SS: Twenty-two—year experience with the diagnosis and treatment of intrahepatic calculi . Surg Gynecol Obstet 1984;159:519-524. 37. Hadjis NS, Hemingway A, Carr D, et al: Liver lobe disparity consequent on atrophy: Diagnostic, operative and therapeutic considerations . J Hepatol 1986;3:285-293.Crossref 38. Hadjis NS, Blumgart LH: The role of liver atrophy and hepatic resection in the development of portal hypertension in biliary disease. Gut, in press. 39. Hadjis NS, Carr D, Blenkharn I, et al: Expectant management of patients with unilateral hepatic duct stricture and liver atrophy . Gut 1986;27:1223-1227.Crossref 40. Thorbjarnarson B, Glenn F: Complications of biliary tract surgery . Surg Clin North Am 1964;44:432-447. 41. Maingot R: Injuries of the biliary tract, including operative and postoperative complications , in Smith R, Sherlock S (eds): Surgery of the Gallbladder and Bile Ducts . Woburn, Mass, Butterworths, 1964, pp 264-296. 42. Kune GA: Bile duct injury during cholecystectomy: Causes, prevention and surgical repair in 1979 . Aust NZ J Surg 1979;49:35-40.Crossref 43. Wapshaw H: Repair of a damaged accessory hepatic duct by anastomosis with cystic duct . Br Med J 1952;1:906.Crossref 44. McPherson GAD, Kelley CJ, Blumgart LH: Gastrointestinal bleeding: A pitfall in the construction of a Roux loop . J R Coll Surg Edinb 1984;29:190-191. 45. McArthur MS, Longmire WP: Peptic ulcer disease after choledochojejunostomy . Am J Surg 1971;122:155-158.Crossref 46. Pappalardo G, Correnti S, Mobarhan S, et al: Long-term results of Roux-en-Y hepaticojejunostomy and hepaticojejunoduodenostomy . Ann Surg 1982;196:149-152.Crossref

Journal

Archives of Surgery – American Medical Association

Published: Mar 1, 1988

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