Research Article
Current Scenario of Postcholecystectomy Bile Leak and Bile Duct Injury at a Tertiary Care Referral Centre of Nepal
Table 2
Preoperative risk assessment, laboratory values, intraoperative events, and outcomes of operative group.
| | Parameters | Results (n = 10) | | Type II diabetes mellitus | 2 (20%) | | Current smoker within 1 year | 5 (50%) | | Hypertension requiring medication | 3 (30%) | | Preoperative blood transfusions (red blood cells within 72 hr before surgery) | 1 (10%) | | Sepsis within 48 hr before surgery | 0 | | Cirrhosis | 0 | | Mean hemoglobin (g/dl) | 11.6 ± 1.8 | | Median total serum bilirubin, mg/dl (range) | 2.0 (0.8–18.0) | | Albumin (g/dl) | 3.9 ± 0.25 |
| | Timing of repair (time from index surgery) | | | <24 hr | 3 (30%) | | >7 days–<6 weeks | 3 (30%) | | 8 to 12 weeks | 4 (40%) |
| | Procedure done | | | Hepaticojejunostomy | 7 (70%) | | End-to-end anastomosis + T-tube | 1 (10%) | | Laparotomy + lavage + drainage | 2 (20%) | | End-to-side hepaticojejunostomy | 2 (20%) | | Side-to-side hepaticojejunostomy | 5 (50%) | | Any form of liver resection | 0 | | Superficial SSI | 2 (20%) | | Mortality | 0 |
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