Plahuta Irena, Turk Špela, Lovrenčič Petreski Barbara, Magdalenić Tomislav, Potrč Stojan, Ivanecz Arpad
Clinical Department of Abdominal and General Surgery, University Medical Centre Maribor, Ljubljanska Ulica 5, 2000 Maribor, Slovenia.
Department of Surgery, Faculty of Medicine, University of Maribor, Taborska Ulica 8, 2000 Maribor, Slovenia.
Life (Basel). 2025 May 29;15(6):874. doi: 10.3390/life15060874.
Bile duct injury (BDI) during (laparoscopic) cholecystectomy has an incidence of up to 1.5%. This retrospective study aimed to report the outcomes of surgical repair of BDI due to these procedures at a tertiary referral center.
A retrospective review of patients' records was conducted. The BDI's clinical presentations, Strasberg classification, surgical repairs, and outcomes were reported.
From 2003 to 2024, 47 BDIs were identified. In total, 34.0% were recognized intraoperatively. The BDI types included Strasberg types B (2, 4.3%), C (5, 10.6%), D (11, 23.4%), E1 (4, 8.5%), E2 (12, 25.5%), E3 (5, 10.6%), E4 (3, 6.4%), and E5 (5, 10.6%). The T-tube group included 6 (12.8%) patients, the primary repair and T-tube group included 10 (21.3%) patients, and the Biliodigestive anastomosis group included 31 (65.9%) patients. The overall morbidity rate was 40.4%, the major morbidity rate was 21.3%, and the mortality rate was 4.3%. Grade A patency was achieved in 95.6% of patients. In the Biliodigestive anastomosis group, the actuarial 1-, 5- and 10-year grade A patency rates were 77.0%, 70.0%, and 70.0%, respectively.
The rate of BDI remains stable. The outcomes of repairs in terms of complications and patency rates are comparable to those in other reports.
（腹腔镜）胆囊切除术期间胆管损伤（BDI）的发生率高达1.5%。本回顾性研究旨在报告在一家三级转诊中心因这些手术导致的BDI手术修复的结果。
对患者记录进行回顾性分析。报告BDI的临床表现、Strasberg分类、手术修复及结果。
2003年至2024年，共识别出47例BDI。术中识别出的占34.0%。BDI类型包括Strasberg B型（2例，4.3%）、C型（5例，10.6%）、D型（11例，23.4%）、E1型（4例，8.5%）、E2型（12例，25.5%）、E3型（5例，10.6%）、E4型（3例，6.4%）和E5型（5例，10.6%）。T管组有6例（12.8%）患者，一期修复加T管组有10例（21.3%）患者，胆肠吻合组有31例（6
