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.

ParametersResults (n = 10)
Type II diabetes mellitus2 (20%)
Current smoker within 1 year5 (50%)
Hypertension requiring medication3 (30%)
Preoperative blood transfusions (red blood cells within 72 hr before surgery)1 (10%)
Sepsis within 48 hr before surgery0
Cirrhosis0
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 hr3 (30%)
>7 days–<6 weeks3 (30%)
8 to 12 weeks4 (40%)

Procedure done
Hepaticojejunostomy7 (70%)
End-to-end anastomosis + T-tube1 (10%)
Laparotomy + lavage + drainage2 (20%)
End-to-side hepaticojejunostomy2 (20%)
Side-to-side hepaticojejunostomy5 (50%)
Any form of liver resection0
Superficial SSI2 (20%)
Mortality0