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World J Gastroenterol. Oct 14, 2013; 19(38): 6348-6352
Published online Oct 14, 2013. doi: 10.3748/wjg.v19.i38.6348
Published online Oct 14, 2013. doi: 10.3748/wjg.v19.i38.6348
Hepatectomy for bile duct injuries: When is it necessary?
Beata Jabłońska, Department of Digestive Tract Surgery, University Hospital of the Medical University of Silesia, 40-752 Katowice, Poland
Author contributions: Jabłońska B wrote this paper.
Correspondence to: Beata Jabłońska, MD, PhD, Department of Digestive Tract Surgery, University Hospital of the Medical University of Silesia, Medyków 14 St, 40-752 Katowice, Poland. bjablonska@poczta.onet.pl
Telephone: +48-32-7894251 Fax: +48-32-7894251
Received: June 28, 2013
Revised: August 30, 2013
Accepted: September 3, 2013
Published online: October 14, 2013
Revised: August 30, 2013
Accepted: September 3, 2013
Published online: October 14, 2013
Core Tip
Core tip: Different surgical biliary reconstructions are performed in most patients with iatrogenic bile duct injuries (IBDI). Roux-Y hepaticojejunostomy is the commonest biliary reconstruction. However, in some patients with complex IBDI involving disruption of hepatic confluence and injuries associated with concomitant vascular damage, hepatectomy is required. In this commentary, indications for hepatectomy in patients with IBDI are discussed. Complex biliovascular injuries as indications for hepatectomy are presented. Short- and long-term results in patients following liver resection for IBDI are also discussed. Hepatectomy is not a standard procedure in surgical treatment of IBDI, but in some complex injuries it should be considered.