From: Post-cholecystectomy bile duct injuries: a retrospective cohort study
Management options undertaken | Time of detection | χ2 | MCp | |||||||
---|---|---|---|---|---|---|---|---|---|---|
Early intraoperative (Ei) (n = 10) | Early Postoperative (Ep) (n = 22) | Late (L) (n = 3) | ||||||||
No. | % | -<72 h. (n = 9) | ->72 h. - <3 weeks (n = 13) | No. | % | |||||
No. | % | No. | % | |||||||
PTBD | 2 | 20.0 | 0 | 0.0 | 11 | 84.6 | 2 | 66.7 | 19.378* | < 0.001* |
Successful ERCP | 1 | 10.0 | 3 | 33.3 | 3 | 23.1 | 1 | 33.3 | 2.057 | 0.531 |
 Sphincterotomy Only | 1 | 10.0 | 2 | 22.2 | 2 | 15.4 | 1 | 33.3 | 1.650 | 0.725 |
 Sphincterotomy + Stent | 0 | 0.0 | 1 | 11.1 | 1 | 7.7 | 0 | 0.0 | 1.894 | 0.780 |
Surgical Exploration | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 1 | 33.3 | 5.545 | 0.087 |
Re-Laparoscopy | 0 | 0.0 | 9 | 100 | 1 | 7.7 | 0 | 0.0 | 27.572* | < 0.001* |
Primary bilioenteric anastomosis | 2 | 20.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 3.805 | 0.305 |
Delayed Hepaticojejunostomy | 2 | 20.0 | 0 | 0.0 | 11 | 84.6 | 2 | 66.7 | 19.378* | MCp<0.001* |
Ligature/clipping of Duct of Luschka | 6 | 60.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 13.639* | MCp<0.001* |
T-tube Insertion | 1 | 10.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 3.137 | 0.629 |
Ligature of a main duct as a method of triaging * | 1 | 10.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 3.137 | 0.626 |
Pigtail drainage | 1 | 10.0 | 0 | 0.0 | 7 | 53.8 | 2 | 66.7 | 11.004* | MCp=0.005* |