Timing of surgical repair of bile duct injuries after laparoscopic cholecystectomy: A systematic review
Patryk Kambakamba, Sinead Cremen, Beat Möckli, Michael Linecker
Abstract
BACKGROUND: The surgical management of bile duct injuries (BDIs) after laparoscopic cholecystectomy (LC) is challenging and the optimal timing of surgery remains unclear. The primary aim of this study was to systematically evaluate the evidence behind the timing of BDI repair after LC in the literature. AIM: To assess timing of surgical repair of BDI and postoperative complications. METHODS: the Newcastle Ottawa scale. The primary outcomes of this review included the timing of BDI repair and postoperative complications. RESULTS: = 1286). Standardization of definition for timing of repair was remarkably poor among studies. Definitions for immediate repair ranged from < 24 h to 6 wk after LC while early repair ranged from < 24 h to 12 wk. Likewise, delayed (> 24 h to > 12 wk after LC) and late repair (> 6 wk after LC) showed a broad overlap. CONCLUSION: The lack of standardization among studies precludes any conclusive recommendation on optimal timing of BDI repair after LC. This finding indicates an urgent need for a standardized reporting system of BDI repair.