HPB Surgery

HPB Surgery / 2011 / Article / Tab 2

Research Article

Clinical Application of the Hanover Classification for Iatrogenic Bile Duct Lesions

Table 2

Therapeutic methods and results of 93 patients with bile duct reconstruction after iatrogenic bile duct injuries.

Primary therapy in the local hospital

Exclusive endoscopic therapy with stent8
Explorative laparotomy +29
and transfer without reconstruction 10
and suture 5
and T-drain 9
and drain 5
Drainage only3
Hemihepatectomy + biliodigestive anastomosis1
E/E reconstruction6
Biliodigestive anastomosis18
No further primary therapy28

Therapy after referral to our centre

Explorative laparotomy and removal of a clip2
Explorative laparotomy and suturing5
Explorative laparotomy and adhesiolysis3
Drainage only1
Hepaticojejunostomy and reconstruction of a. hep. com1
Right hemihepatectomy only2
Liver segment resection2
Hemihepatectomy with hepaticojejunostomy13
Whipple’s procedure2

Subsequent interventions at our centre

Partial resection of the liver1
Liver transplantation2
Incisional hernia7
Closure of a tracheostoma2
Relaparotomy due to adhesion ileus1

Complications requiring revision

Secondary haemorrhage3
Anastomotic insufficiency of a hepaticojejunostomy2
Duodenal perforation2
Obstruction of the hepatic artery and the portal vein1

Hospital lethality

Primarily injured common hepatic artery followed by sepsis in all cases

Follow-up period

Symptoms due to adhesions7
Pain in the region of the scar3
Recurrent cholangitis15

Article of the Year Award: Outstanding research contributions of 2020, as selected by our Chief Editors. Read the winning articles.