Intraoperative gastrobiliary duct drainage for iatrogenic distal common bile duct injury

Abstract

Objective To evaluate gastrobiliary duct drainage in the treatment for iatrogenic distal common bile duct injury found during the operation. Methods We analyzed clinical data of 17 cases with application of gastrobiliary duct drainage in immediate treatment for the injury of distal common bile duct found during the operation from June 2010 to June 2016. Postoperative bile drainage, postoperative gastrointestinal function recovery, time for removal of the gastrobiliary duct and hospitalization time were recorded. Postoperative bile leakage, intestinal fistula and pancreatic leakage were observed. Patients were followed up until June 2016. Results The mean volume of bile drainage on the third postoperative day were (310±112)ml, the mean time of postoperative gastrointestinal function recovery were (3.0±1.5) days, time for removal of the gastrobiliary stent were (7.5±1.0) days and hospitalization time were (9.5±1.5) days . There was no postoperative bile leakage, intestinal fistula and pancreatic leakage. All patients were followed up for a median time of 12 months (range, 1-45 months). Meanwhile, we found no significant biliary strictures and cholangitis patients. Conclusion Gastrobiliary duct drainage is a simple, rational and effective treatment for iatrogenic injury of distal common bile duct during common bile duct exploration. Key words: Common bile duct disease; Drainage; Intraoperative complications