Comparison of Risk Factors in Patients With and Without Early Post-Operative Complications After Hepaticojejunostomy for Iatrogenic Bile Duct Injury

Basit Ali Cheema; Muhammad Qasim Butt; Nayab Mustansar; Abdul Rehman; Waqas Farooq Alvi; Muhammad Shahzad

doi:10.51253/pafmj.v75iSUPPL-2.9672

Authors

Basit Ali Cheema Department of Surgery, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Muhammad Qasim Butt Department of Surgery, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Nayab Mustansar Department of Obs & Gynae, Combined Military Hospital Rawalpindi/ National University of Medical Sciences (NUMS) Pakistan
Abdul Rehman Department of Surgery, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Waqas Farooq Alvi Department of Surgery, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Muhammad Shahzad Department of Surgery, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75iSUPPL-2.9672

Keywords:

Bile duct injury, Comparison, Hepaticojejunostomy, Risk Factors.

Abstract

Objective: To analyze the risk factors associated with early post-operative complications among patients undergoing hepaticojejunostomy for iatrogenic bile duct injury.

Study Design: Comparative Cross-sectional Study.

Place and Duration of Study: Army Liver Transplant Unit, Rawalpindi Pakistan, From Jan to Oct 2022.

Methodology: Eighty-one patients who underwent different types of hepatobiliary surgeries, had iatrogenic bile duct injury and underwent hepaticojejunostomy for repair. Patients were followed up for couple of weeks after the corrective procedure to look for various early post-operative complications. A comparison was performed for different sociodemographic factors in patients with and without early postoperative complications who were recruited in this study.

Results: Fifty-five (67.9%) patients were male and 26(32.1%) were female. Median age of patients put who underwent hepaticojejunostomy for repair of iatrogenic bile duct injury in our study was 45 years with IQR range of 40. Patients were divided into two groups on basis of presence of complications. 13(16.1%) patients had one or more complications early on after the surgery while 68(83.9%) patients had smooth early postoperative recovery without complications. Advanced age and presence of comorbid illness were the risk factors found more in groups of patients with presence of early post-operative complications (p-value<0.05).

Conclusion: Early post-operative complications were not uncommon after hepaticojejunostomy procedure opted for repair of iatrogenic bile injuries. Patients who were more than 50 years of age and had comorbid medical illnesses were more at risk of early post-operative complications in our study.

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