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Surgical management of the postoperative complications of hepato-pancreato-biliary surgery

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초록

Gastrointestinal surgery is a vast field with many types of procedures, of which hepato-pancreato-biliary (HPB) operations are among the most frequently performed worldwide. Several complications of HPB surgery may occur. Most of these complications, such as wound infection, bleeding, abdominal wall eventrations, and intestinal obstruction, also occur with other procedures. This review analyzes surgical management-related complications associated with HPB surgery, including pancreatic fistula, bile leakage, biliary stenosis, and bile duct damage. Most of the complications of HPB surgery can be managed conservatively or with minimally invasive procedures. Nevertheless, surgical management still plays an important role.

Abstract

Gastrointestinal surgery is a vast field with many types of procedures, of which hepato-pancreato-biliary (HPB) operations are among the most frequently performed worldwide. Several complications of HPB surgery may occur. Most of these complications, such as wound infection, bleeding, abdominal wall eventrations, and intestinal obstruction, also occur with other procedures. This review analyzes surgical management-related complications associated with HPB surgery, including pancreatic fistula, bile leakage, biliary stenosis, and bile duct damage. Most of the complications of HPB surgery can be managed conservatively or with minimally invasive procedures. Nevertheless, surgical management still plays an important role.

참고문헌 (97)

  1. Torphy RJ, "Comparing short-term and oncologic outcomes of minimally invasive versus open pancreaticoduodenectomy across low and high volume centers", Ann Surg, 270, pp.1147~1155 (2019)
  2. Kovoor JG, "Inhospital survival after pancreatoduodenectomy is greater in high-volume hospitals versus lower-volume hospitals : a meta-analysis", ANZ J Surg, 92, pp.77~85 (2022)
  3. Papageorge MV, "The effect of hospital versus surgeon volume on short-term patient outcomes after pancreaticoduodenectomy : a SEER-medicare analysis", Ann Surg Oncol, 29, pp.2444~2451 (2022)
  4. Yeo CJ, "Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s : pathology, complications, and outcomes", Ann Surg, 226, pp.248~257 (1997)
  5. Büchler MW, "Changes in morbidity after pancreatic resection : toward the end of completion pancreatectomy", Arch Surg, 138, pp.1310~1314 (2003)
  6. Balcom JH 4th, "Ten-year experience with 733 pancreatic resections : changing indications, older patients, and decreasing length of hospitalization", Arch Surg, 136, pp.391~398 (2001)
  7. Tani M, "The evaluation of duct-to-mucosal pancreaticojejunostomy in pancreaticoduodenectomy", World J Surg, 29, pp.76~79 (2005)
  8. Tani M, "Complications with reconstruction procedures in pylorus-preserving pancreaticoduodenectomy", World J Surg, 29, pp.881~884 (2005)
  9. Kamoda Y, "Usefulness of performing a pancreaticojejunostomy with an internal stent after a pancreatoduodenectomy", Surg Today, 38, pp.524~528 (2008)
  10. Yeo CJ, "Pancreaticoduodenectomy with or without distal gastrectomy and extended retroperitoneal lymphadenectomy for periampullary adenocarcinoma, part 2 : randomized controlled trial evaluating survival, morbidity, and mortality", Ann Surg, 236, pp.355~366 (2002)
  11. Kawai M, "Analysis of clinical trials evaluating complications after pancreaticoduodenectomy : a new era of pancreatic surgery", Surg Today, 40, pp.1011~1017 (2010)
  12. van Berge Henegouwen MI, "Incidence, risk factors, and treatment of pancreatic leakage after pancreaticoduodenectomy : drainage versus resection of the pancreatic remnant", J Am Coll Surg, 185, pp.18~24 (1997)
  13. Wada K, "Pancreatic anastomotic leak after the Whipple procedure is reduced using the surgical microscope", Surgery, 139, pp.735~742 (2006)
  14. Poon RT, "External drainage of pancreatic duct with a stent to reduce leakage rate of pancreaticojejunostomy after pancreaticoduodenectomy : a prospective randomized trial", Ann Surg, 246, pp.425~433 (2007)
  15. Adam U, "Risk factors for complications after pancreatic head resection", Am J Surg, 187, pp.201~208 (2004)
  16. Kawai M, "Early removal of prophylactic drains reduces the risk of intra-abdominal infections in patients with pancreatic head resection : prospective study for 104 consecutive patients", Ann Surg, 244, pp.1~7 (2006)
  17. Horstmann O, "Pylorus preservation has no impact on delayed gastric emptying after pancreatic head resection", Pancreas, 28, pp.69~74 (2004)
  18. Zerbi A, "Comparison between pylorus-preserving and Whipple pancreatoduodenectomy", Br J Surg, 82, pp.975~979 (1995)
  19. Martignoni ME, "Enteral nutrition prolongs delayed gastric emptying in patients after Whipple resection", Am J Surg, 180, pp.18~23 (2000)
  20. Nguyen TC, "Standard vs. radical pancreaticoduodenectomy for periampullary adenocarcinoma:a prospective, randomized trial evaluating quality of life in pancreaticoduodenectomy survivors", J Gastrointest Surg, 7, pp.1~9 (2003)
  21. Jin S, "Management of post-hepatectomy complications", World J Gastroenterol, 19, pp.7983~7991 (2013)
  22. Savage AP, "Determinants of operative mortality and morbidity", Ann Surg, 214, pp.689~695 (1991)
  23. Wu M, "Prevention and treatment of complications after hepatectomy", Zhonghua Wai Ke Za Zhi, 40, pp.332~335 (2002)
  24. Ishikawa M, "Clarification of risk factors for hepatectomy in patients with hepatocellular carcinoma", Hepatogastroenterology, 49, pp.1625~1631 (2002)
  25. Dimick JB, "Postoperative complication rates after hepatic resection in Maryland hospitals", Arch Surg, 138, pp.41~46 (2003)
  26. Benzoni E, "Resective surgery for liver tumor : a multivariate analysis of causes and risk factors linked to postoperative complications", Hepatobiliary Pancreat Dis Int, 5, pp.526~533 (2006)
  27. Benzoni E, "Liver resection for HCC : analysis of causes and risk factors linked to postoperative complications", Hepatogastroenterology, 54, pp.186~189 (2007)
  28. Mullen JT, "Hepatic insufficiency and mortality in 1, 059 noncirrhotic patients undergoing major hepatectomy", J Am Coll Surg, 204, pp.854~862 (2007)
  29. McKay A, "Impact of surgeon training on outcomes after resective hepatic surgery", Ann Surg Oncol, 15, pp.1348~1355 (2008)
  30. Feng ZQ, "Liver resection for benign hepatic lesions : a retrospective analysis of 827 consecutive cases", World J Gastroenterol, 14, pp.7247~7251 (2008)
  31. Tomuş C, "Liver resection for benign hepatic lesion: mortality, morbidity and risk factors for postoperative complications", Chirurgia(Bucur), 104, pp.275~280 (2009)
  32. Cescon M, "Trends in perioperative outcome after hepatic resection : analysis of 1500 consecutive unselected cases over 20 years", Ann Surg, 249, pp.995~1002 (2009)
  33. Huang ZQ, "Hepatic resection : an analysis of the impact of operative and perioperative factors on morbidity and mortality rates in 2008 consecutive hepatectomy cases", Chin Med J(Engl), 122, pp.2268~2277 (2009)
  34. Mathur AK, "Body mass index and adverse perioperative outcomes following hepatic resection", J Gastrointest Surg, 14, pp.1285~1291 (2010)
  35. Sato M, "Mortality and morbidity of hepatectomy, radiofrequency ablation, and embolization for hepatocellular carcinoma : a national survey of 54, 145 patients", J Gastroenterol, 47, pp.1125~1133 (2012)
  36. Dan RG, "Postoperative morbidity and mortality after liver resection. Retrospective study on 133 patients", Chirurgia(Bucur), 107, pp.737~741 (2012)
  37. Lee CC, "Risk factors associated with bile leakage after hepatic resection for hepatocellular carcinoma", Hepatogastroenterology, 52, pp.1168~1171 (2005)
  38. Sadamori H, "Risk factors for major morbidity after hepatectomy for hepatocellular carcinoma in 293recent cases", J Hepatobiliary Pancreat Sci, 17, pp.709~718 (2010)
  39. Bhattacharjya S, "Outcome of early endoscopic biliary drainage in the management of bile leaks after hepatic resection", Gastrointest Endosc, 57, pp.526~530 (2003)
  40. Yamashita Y, "Bile leakage after hepatic resection", Ann Surg, 233, pp.45~50 (2001)
  41. Wysocki AP, "Population-based studies should not be used to justify a policy of routine cholangiography to prevent major bile duct injury during laparoscopic cholecystectomy", World J Surg, 41, pp.82~89 (2017)
  42. Roslyn JJ, "Open cholecystectomy. A contemporary analysis of 42,474 patients", Ann Surg, 218, pp.129~137 (1993)
  43. Strasberg SM, "An analysis of the problem of biliary injury during laparoscopic cholecystectomy", J Am Coll Surg, 180, pp.101~125 (1995)
  44. Martin D, "Bile duct injuries after laparoscopic cholecystectomy : 11-year experience in a tertiary center", Biosci Trends, 10, pp.197~201 (2016)
  45. Mishra PK, "Bile duct injury-from injury to repair : an analysis of management and outcome", Indian J Surg, 77(Suppl 2), pp.536~542 (2015)
  46. Waage A, "Iatrogenic bile duct injury : a population-based study of 152 776 cholecystectomies in the Swedish Inpatient Registry", Arch Surg, 141, pp.1207~1213 (2006)
  47. Nuzzo G, "Bile duct injury during laparoscopic cholecystectomy : results of an Italian national survey on 56 591 cholecystectomies", Arch Surg, 140, pp.986~992 (2005)
  48. Tantia O, "Iatrogenic biliary injury : 13, 305 cholecystectomies experienced by a single surgical team over more than 13 years", Surg Endosc, 22, pp.1077~1086 (2008)
  49. Hogan NM, "Iatrogenic common bile duct injuries : increasing complexity in the laparoscopic era : a prospective cohort study", Int J Surg, 33, pp.151~156 (2016)
  50. Devant E, "Delayed postoperative hemorrhage complicating major supramesocolic surgery management and outcomes", World J Surg, 45, pp.2432~2438 (2021)
  51. Yekebas EF, "Postpancreatectomy hemorrhage : diagnosis and treatment : an analysis in 1669 consecutive pancreatic resections", Ann Surg, 246, pp.269~280 (2007)
  52. Benzoni E, "Liver resective surgery : a multivariate analysis of postoperative outcome and complication", Langenbecks Arch Surg, 392, pp.45~54 (2007)
  53. Nyckowski P, "Analysis of morbidity risk in patients after liver resection", Wiad Lek, 50(Suppl 1 Pt 2), pp.277~280 (1997)
  54. Shimada M, "Estimation of risk of major complications after hepatic resection", Am J Surg, 167, pp.399~403 (1994)
  55. Yang T, "Risk factors of hospital mortality after re-laparotomy for post-hepatectomy hemorrhage", World J Surg, 37, pp.2394~2401 (2013)
  56. Peng Z, "Hepatic artery angiography and embolization for hemobilia after hepatobiliary surgery", Chin Med J(Engl), 114, pp.803~806 (2001)
  57. Bo JG, "Precise orientation and hepatectomy in the management of biliary tract hemorrhage", Zhonghua Yi Xue Za Zhi, 89, pp.1408~1410 (2009)
  58. Miura F, "Management of postoperative arterial hemorrhage after pancreato-biliary surgery according to the site of bleeding : re-laparotomy or interventional radiology", J Hepatobiliary Pancreat Surg, 16, pp.56~63 (2009)
  59. Xu ZB, "Evaluation of selective hepatic angiography and embolization in patients with massive hemobilia", Hepatobiliary Pancreat Dis Int, 4, pp.254~258 (2005)
  60. Bloechle C, "Hemobilia : presentation, diagnosis, and management", Am J Gastroenterol, 89, pp.1537~1540 (1994)
  61. Coccolini F, "Liver trauma : WSES 2020 guidelines", World J Emerg Surg, 15, pp.24~ (2020)
  62. Letoublon C, "Management of blunt hepatic trauma", J Visc Surg, 153(4 Suppl), pp.33~43 (2016)
  63. Kodadek LM, "Intrahepatic balloon tamponade for penetrating liver injury : rarely needed but highly effective", World J Surg, 43, pp.486~489 (2019)
  64. Peitzman AB, "Advanced operative techniques in the management of complex liver injury", J Trauma Acute Care Surg, 73, pp.765~770 (2012)
  65. Coccolini F, "Liver trauma : WSES position paper", World J Emerg Surg, 10, pp.39~ (2015)
  66. Franklin GA, "Current advances in the surgical approach to abdominal trauma", Injury, 37, pp.1143~1156 (2006)
  67. Koch M, "Bile leakage after hepatobiliary and pancreatic surgery : a definition and grading of severity by the International Study Group of Liver Surgery", Surgery, 149, pp.680~688 (2011)
  68. Lo CM, "Biliary complications after hepatic resection : risk factors, management, and outcome", Arch Surg, 133, pp.156~161 (1998)
  69. Nagano Y, "Risk factors and management of bile leakage after hepatic resection", World J Surg, 27, pp.695~698 (2003)
  70. Kubo N, "Treatment strategy for isolated bile leakage after hepatectomy : literature review", Ann Gastroenterol Surg, 4, pp.47~55 (2019)
  71. Yoshioka R, "Predictive factors for bile leakage after hepatectomy : analysis of 505 consecutive patients", World J Surg, 35, pp.1898~1903 (2011)
  72. Sadamori H, "Intractable bile leakage after hepatectomy for hepatocellular carcinoma in 359 recent cases", Dig Surg, 29, pp.149~156 (2012)
  73. de Castro SM, "Incidence and management of biliary leakage after hepaticojejunostomy", J Gastrointest Surg, 9, pp.1163~1171 (2005)
  74. Antolovic D, "Hepaticojejunostomy--analysis of risk factors for postoperative bile leaks and surgical complications", J Gastrointest Surg, 11, pp.555~561 (2007)
  75. Hopt UT, "Leakage after biliary and pancreatic surgery", Chirurg, 75, pp.1079~1087 (2004)
  76. Cho JY, "Proposed standards for reporting outcomes of treating biliary injuries", HPB(Oxford), 20, pp.370~378 (2018)
  77. Schreuder AM, "Percutaneous-endoscopic rendezvous procedure for the management of bile duct injuries after cholecystectomy : short-and long-term outcomes", Endoscopy, 50, pp.577~587 (2018)
  78. Nathan Wnuk, "Percutaneous-transhepatic creation of a bilioenteric neoanastomosis in a patient with bile duct injury using cone-beam computed tomography", International Journal of Gastrointestinal Intervention, 8(1), pp.41~44 (2019), 소화기인터벤션의학회[DOI]
  79. Jang SI, "Treatment of completely obstructed benign biliary strictures with magnetic compression anastomosis : follow-up results after recanalization", Gastrointest Endosc, 85, pp.1057~1066 (2017)
  80. Özdemir M, "Percutaneous endobiliary radiofrequency ablation for refractory benign hepaticojejunostomy and biliary strictures", Diagn Interv Imaging, 99, pp.555~560 (2018)
  81. Janssen JJ, "Percutaneous balloon dilatation and long-term drainage as treatment of anastomotic and nonanastomotic benign biliary strictures", Cardiovasc Intervent Radiol, 37, pp.1559~1567 (2014)
  82. Costamagna G, "Endotherapy of postoperative biliary strictures with multiple stents : results after more than 10 years of follow-up", Gastrointest Endosc, 72, pp.551~557 (2010)
  83. Alvear Castro D, "Transhepatic percutaneous sustained dilation with multiple catheters for the management of hepaticojejunostomy benign stricture", J Laparoendosc Adv Surg Tech A, 30, pp.948~952 (2020)
  84. Mauri G, "Benign biliary strictures refractory to standard bilioplasty treated using polydoxanone biodegradable biliary stents : retrospective multicentric data analysis on 107 patients", Eur Radiol, 26, pp.4057~4063 (2016)
  85. Saxena P, "A US multicenter study of safety and efficacy of fully covered self-expandable metallic stents in benign extrahepatic biliary strictures", Dig Dis Sci, 60, pp.3442~3448 (2015)
  86. AbdelRafee A, "Long-term follow-up of 120 patients after hepaticojejunostomy for treatment of post-cholecystectomy bile duct injuries : a retrospective cohort study", Int J Surg, 18, pp.205~210 (2015)
  87. Lillemoe KD, "Postoperative bile duct strictures : management and outcome in the 1990s", Ann Surg, 232, pp.430~441 (2000)
  88. de Santibañes E, "Bile duct injuries : management of late complications", Surg Endosc, 20, pp.1648~1653 (2006)
  89. Ismael HN, "The morbidity and mortality of hepaticojejunostomies for complex bile duct injuries : a multi-institutional analysis of risk factors and outcomes using NSQIP", HPB(Oxford), 19, pp.352~358 (2017)
  90. Booij KAC, "Long-term follow-up and risk factors for strictures after hepaticojejunostomy for bile duct injury : an analysis of surgical and percutaneous treatment in a tertiary center", Surgery, 163, pp.1121~1127 (2018)
  91. A European-African HepatoPancreatoBiliary Association (E-AHPBA) Research Collaborative Study management group, "Post cholecystectomy bile duct injury : early, intermediate or late repair with hepaticojejunostomy-an E-AHPBA multi-center study", HPB(Oxford), 21, pp.1641~1647 (2019)
  92. Malleo G, "Postpancreatectomy complications and management", Surg Clin North Am, 96, pp.1313~1336 (2016)
  93. Vollmer CM Jr, "A root-cause analysis of mortality following major pancreatectomy", J Gastrointest Surg, 16, pp.89~102 (2012)
  94. McMillan MT, "Predictive factors for pancreatic fistula following pancreatectomy", Langenbecks Arch Surg, 399, pp.811~824 (2014)
  95. Standop J, "Operative re-intervention following pancreatic head resection : indications and outcome", J Gastrointest Surg, 13, pp.1503~1509 (2009)
  96. Floortje van Oosten A, "Diagnosis and management of postpancreatectomy hemorrhage : a systematic review and meta-analysis", HPB(Oxford), 21, pp.953~961 (2019)
  97. Correa-Gallego C, "Contemporary experience with postpancreatectomy hemorrhage : results of 1, 122 patients resected between 2006 and 2011", J Am Coll Surg, 215, pp.616~621 (2012)

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