ORIGINAL RESEARCH article
Front. Surg.
Sec. Visceral Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1576454
Factors Affecting Early and Late Period Outcomes in Patients Undergoing Surgical Repair Due to Biliary Tract Injury
Provisionally accepted
İbrahim Çoğal
Burak Yavuz*Yunus Kaycı
Ugur Topalİshak AydınAhmet Gökhan SarıtaşKubilay Dalciİsmail Cem ErayAtilgan Tolga AkcamAbdullah Ülkü- Çukurova University, Adana, Türkiye
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Aim: Cholecystectomy is the most common elective abdominal surgery globally. With the advent of laparoscopy, laparoscopic cholecystectomy has become the gold standard. However, this has also led to an increase in biliary tract injuries, a complication with high morbidity and mortality that requires a multidisciplinary treatment approach. This study aims to identify factors influencing postoperative outcomes in patients undergoing surgical repair for biliary tract injuries.: This study included 66 patients referred to the General Surgery Department of Çukurova University Medical Faculty for biliary tract injuries between January 2005 and June 2022, all of whom underwent hepaticojejunostomy. Demographic data, pre-and post-operative lab values, imaging, and anastomosis types were recorded and analyzed. Early and long-term postoperative outcomes were examined, using the McDonald classification for long-term follow-up.Results: Of the 66 patients, 18(27.3%) were male, and 48 (72.7%) were female, with a mean follow-up of 105±58 months. Early postoperative complications developed in 28 patients(42.4%). Diabetes and culture positivity were significantly associated with wound infections. Elevated pre-and post-repair ALP and GGT levels were significantly associated with poorer long-term outcomes according to the McDonald classification. Vascular injury was significantly associated with isolated ALP-GGT elevation. Anastomotic stricture developed in 8 patients(12.1%). Of these, 2(3%) were successfully managed with balloon dilation Conclusion: Biliary tract injury is a serious complication post-cholecystectomy, requiring a multidisciplinary approach and follow-up in a hepatobiliary center. Surgeon experience and local risk factors are crucial in managing these injuries.
Keywords: biliary tract injuries, Hepaticojejunostomy, Cholecystectomy, Patient Care Team, treatment outcome
Received: 14 Feb 2025; Accepted: 18 Jun 2025.
Copyright: © 2025 Çoğal, Yavuz, Kaycı, Topal, Aydın, Sarıtaş, Dalci, Eray, Akcam and Ülkü. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Burak Yavuz, Çukurova University, Adana, Türkiye
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