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[Reoperation on the bile ducts (author's transl)]
Zentralblatt Fur Chirurgie
|January 1, 1977
Summary
Gallbladder and bile duct surgeries from 1951-1975 show a 1.2% mortality rate. Papillosphincterotomy had a 4.4% mortality, with complications including bleeding and pancreatitis.
Area of Science:
- Gastroenterology
- Hepatobiliary Surgery
Context:
- Analysis of 5560 gallbladder and bile duct operations performed between 1951 and 1975.
- Focus on 659 papillosphincterotomies, primarily for choledocholithiasis with papillary changes (82%) and Vaterian stenosis (18%).
Purpose:
- To evaluate the outcomes and complications of surgical interventions on the gallbladder and bile ducts during a 25-year period.
- To assess the mortality and morbidity associated with papillosphincterotomy and subsequent reoperations.
Summary:
- Overall mortality for gallbladder and bile duct operations was 1.2%.
- Papillosphincterotomy resulted in a 4.4% mortality rate, with early reoperations for inflammatory complications and hemorrhage.
- Late reoperations were performed in 24 cases, and 35 patients underwent reoperation for iatrogenic bile duct strictures post-cholecystectomy or gastric resection.
Impact:
- Provides historical data on surgical outcomes for hepatobiliary conditions.
- Highlights the risks and management of complications, including iatrogenic injuries, in biliary surgery.
- Informs understanding of long-term results and the need for careful surgical technique in gallbladder and bile duct procedures.