Diagnosis, Treatment, and Prevention of Iatrogenic Injury in the Lower Part of Common Bile Duct

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Ling Bai, Cheng Jin, Shuangquan Wang


Iatrogenic bile duct injury is one of the important problems in abdominal surgery and its incidence has shown an upward trend in recent years. Iatrogenic bile duct injury threatens the quality of life and life safety of patients. At present, there is a lack of diagnostic and treatment norms that have a guiding significance based on large-scale evidence-based medicine research. The injury to the lower part of the common bile duct, especially the joint of the biliary and pancreatic intestines, generally is more serious. This article introduces the current status, classification, common causes, diagnosis, treatment, and prevention regarding the iatrogenic injury in the lower common bile duct. A deeper understanding of this injury may help minimize the incidence of injury, standardize diagnosis and treatment and improve the prognosis of patients.


Iatrogenic injury, Lower part of common bile duct, Diagnosis, Treatment, Prevention

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Schreuder AM, Busch OR, Besselink MG, et al., 2019, Long-Term Impact of Iatrogenic Bile Duct Injury. Dig Surg, 17:1-12. DOI: 10.1159/000496432.

Buturovic S, 2014, Iatrogenic Injury to the Common Bile Duct. Med Arch, 68(4):291-3. DOI: 10.5455/ medarh.2014.68.291-293.

Wang J, Wu ZY, He M, et al., 2008, Diagnosis and Treatment of Iatrogenic Injury in Cholodocho-pancreatico-duodenal Junction. Chin J Dig Srurg, 7(1):16-8.

Shi WJ, 2017, Some Surgical Problems Concerning the Region of the Choledocho-pancreato-duodenal Junction. J Clin Surg, 15(8):507-8.

Limaylla-Vega H, Vega-Gonzales E, 2017, Iatrogenic Lesions of the Biliary Tract. Rev Gastroenterol Peru, 37(4):350-6.

Cohen JT, Charpentier KP, Beard RE, 2019, An Update on Iatrogenic Biliary Injuries: Identification, Classification, and Management. Surg Clin North Am, 99(2):283-99. DOI: 10.1016/j.suc.2018.11.006.

Lau WY, Lai EC, 2007, Classification of Iatrogenic Bile Duct Injury. Hepatobiliary Pancreat Dis Int, 6(5):459-63.

Velidedeoglu M, Arikan AE, Uludag SS, et al., 2015, Clinical Application of Six Current Classification Systems for Iatrogenic Bile Duct Injuries after Cholecystectomy. Hepatogastroenterology, 62(139):577-84.

Huang ZQ, 2008, Iatrogenic Biliary Stricture: A Disastrous Mistake in Biliary Surgery. Chin J Dig Surg, 7(1):1-5.

Stewart L, 2014, Iatrogenic Biliary Injuries: Identification, Classification, and Management. Surg Clin North Am, 94(2):297-310.

Shi WJ, 2009, Attach Importance to the Prevention and Treatment of Iatrogenic Injury in Choledocho-pancreatico-duodenal Junction. Chin J Dig Surg, 8(3):168-70.

Seeras K, Kalani AD, 2019, Bile Duct Repair. StatPearls Publishing, StatPearls. Treasure Island, FL.

Thompson CM, Saad NE, Quazi RR, et al., 2013, Management of Iatrogenic Bile Duct Injuries: Role of the Interventional Radiologist. Radiographics, 33(1):117-34. DOI: 10.1148/rg.331125044.

Vachhani PG, Copelan A, Remer EM, et al., 2015, Iatrogenic Hepatopancreaticobiliary Injuries: A Review. Semin Intervent Radiol, 32(2):182-94. DOI: 10.1055/s- 0035-1549377.

Pesce A, Palmucci S, La Greca G, et al., 2019, Iatrogenic Bile Duct Injury: Impact and Management Challenges. Clin Exp Gastroenterol, 12:121-8. DOI: 10.2147/ceg.s169492.

Bobkiewicz A, Krokowicz Ł, Banasiewicz T, et al., 2015, Iatrogenic Bile Duct Injury. A Significant Surgical Problem. Assessment of Treatment Outcomes in the Department’s Own Material. Pol Przegl Chir, 86(12):576 83. DOI: 10.1515/pjs-2015-0004.

Wei JM, 2011, Diagnosis, Management and Prevention of Iatrogenic Injury in Choledocho-pancreatico-duodenal Junction. Chin J Pract Surg, 31(7):573-5.

Lau WY, Lai EC, Lau SH, 2010, Management of Bile Duct Injury After Laparoscopic Cholecystectomy: A Review. ANZ J Surg, 80(1-2):75-81. DOI: 10.1111/j.1445-2197.2009.05205.x.

Pioche M, Ponchon T, 2013, Management of Bile Duct Leaks. J Visc Surg, 150(3):S33-8. DOI: 10.1016/j. jviscsurg.2013.05.004.

Suo T, Chen L, Liu H, et al., 2011, Management for a Complicated Biliary Stricture After Iatrogenic Bile Duct Injury. J Vis Surg, 3:33. DOI: 10.21037/jovs.2017.03.06.

Stankiewicz R, Najnigier B, Krawczyk M, 2015, Is the Age of Patients with Iatrogenic Bile Duct Injuries Increasing? Pol Przegl Chir, 87(3):129-33. DOI: 10.1515/pjs-2015 0032.

Bharathy KG, Negi SS, 2014, Postcholecystectomy Bile Duct Injury and its Sequelae: Pathogenesis, Classification, and Management. Indian J Gastroenterol, 33(3):201-15. DOI: 10.1007/s12664-013-0359-5.

Tantia O, Sasmal PK, Patle N, et al., 2010, Bile Duct Injury During Laparoscopic Cholecystectomy: Mechanism and Prevention. J Indian Med Assoc, 108(10):667-8, 71.

Abbasoğlu O, Tekant Y, Alper A, et al., 2016, Prevention and Acute Management of Biliary Injuries During Laparoscopic Cholecystectomy: Expert Consensus Statement. Ulus Cerrahi Derg, 32(4):300-5. DOI: 10.5152/ucd.2016.3683.

Hogan NM, Dorcaratto D, Hogan AM, et al., 2016, Iatrogenic Common Bile Duct Injuries: Increasing Complexity in the Laparoscopic Era: A Prospective Cohort Study. Int J Surg, 33:151-6. DOI: 10.1016/j.ijsu.2016.08.004.

Głuszek S, Kot M, Bałchanowski N, et al., 2014, Iatrogenic Bile Duct Injuries--clinical Problems. Pol Przegl Chir, 86(1):17-25. DOI: 10.2478/pjs-2014-0004.

DOI: http://dx.doi.org/10.18063/ghl.v1i1.237


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