Outcome of Early and Delayed Repair of Bile Duct Injuries

Early and Delayed Repair of Bile Duct Injuries

Abstract

Background: The aim is to compare outcome of early and delayed repair of bile duct injuries. Subjects andMethodology: Sixty- four patients of bile duct injuries of either gender were divided into group I (Early repair) and group II (Delayed repair). Operative findings such as injury classification and procedural variables, and postoperative course including 30-day readmission and 90-day mortality were recorded. Results: Etiology was cholecystectomy in 25 and 21, abdominal trauma in 7 and 8 and non-biliary abdominal procedures in 2 and 5 in group I and II respectively. There were 18 males and 14 females and 16 males and 16 females in group I and II respectively. Hospital length of stay was 7.1 days in group I and 8.4 days, 30 days of re- admission was seen in 3 and 4 and 90 days of mortality was seen in 2 in group I and 1 in group II. Strasburg-Bismuth classification showed A in 1 and 2, B in 3 and 4, C in 8 and 1, D in 6 and 4, E1 in 4 and 4, E2 in 3 and 5, E3 in 4 and 6, E4 in 3 and 4, E5 in 2 and 3 and X in 0 and 1 in group I and II respectively. Preoperative PTC catheter placement was seen in 0 and 18, preoperative percutaneous transabdominal drain placement was seen in 0 and 12 in group I and II respectively. Conclusion: Early repair found to be better as compared to delayed repair of bile duct injury.