Relationship between postoperative biliary stricture and clinical characteristics of patients with benign and malignant biliary diseases

Kun Li; Yue Ding; Nanbin Liu; Ran Qi; Yufeng Wang; Jiangxi Liu; Baomin Shi

doi:10.5114/wiitm.2022.121408

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

1/2023
vol. 18

Send email

Copy url:

General surgery

abstract:

Original paper

Relationship between postoperative biliary stricture and clinical characteristics of patients with benign and malignant biliary diseases

Kun Li

¹

,

Yue Ding

¹

,

Nanbin Liu

²

,

Ran Qi

¹

,

Yufeng Wang

¹

,

Jiangxi Liu

¹

,

Baomin Shi

¹

Department of General Surgery, Tongji Hospital of Tongji University Medicine School, China
National and Local Joint Engineering Research Center of Biodiagnosis and Biotherapy, the Second Affiliated Hospital of Xi’an Jiaotong University Medicine School, China

Videosurgery Miniinv 2023; 18 (1): 117–127

DOI: https://doi.org/10.5114/wiitm.2022.121408

Online publish date: 2022/11/24

View full text Get citation

PlumX metrics:

Introduction
Postoperative biliary stricture (POBS) is one of the common complications of biliary surgery. Previous literature on risk factors of POBS was scarce, and the classification of POBS in benign and malignant biliary diseases was incomplete.

Aim
To analyze clinicopathological factors of POBS in usual biliary diseases, and to facilitate preoperative diagnosis of biliary stricture.

Material and methods
A retrospective analysis was made on the clinical data of 2228 patients who underwent biliary surgery in our hospital from July 2010 to June 2022. With the inclusion and exclusion criteria, the clinicopathological factors for POBS were classified, and data analysis was conducted.

Results
Benign diseases with age ≥ 60 years (p = 0.034), diabetes (p = 0.001), common bile duct diameter < 0.8 cm (p = 0.034), Mirizzi syndrome (p = 0.001), seniority of surgeons < 25 years (p = 0.001), and operation time for the first 6 years (p = 0.015) are more likely to evolve into POBS; malignant diseases with conjugated bilirubin ≥ 6.8 µmol/l (p = 0.042), alkaline phosphatase ≥ 125 U/l (p = 0.042), γ-glutamyl transferase ≥ 50 U/l (p = 0.047), diabetes (p = 0.038), and seniority of surgeons < 25 years (p = 0.008) are prone to POBS. Different surgical approaches affect the incidence of POBS (χ² = 9.717, p = 0.034). The choice of surgical site is important for the incidence of POBS in malignant diseases (χ² = 7.935, p = 0.041).

Conclusions
Surgeons need to identify risk factors, conduct patient visits and assessments preoperatively, standardize the operation in order to avoid structural damage, and reduce the occurrence of POBS.

keywords:

Relationship between postoperative biliary stricture and clinical characteristics of patients with benign and malignant biliary diseases

Kun Li 1 , Yue Ding 1 , Nanbin Liu 2 , Ran Qi 1 , Yufeng Wang 1 , Jiangxi Liu 1 , Baomin Shi 1

risk factors, postoperative biliary stricture, choledochoscope, clinical characters

Kun Li

¹

,

Yue Ding

¹

,

Nanbin Liu

²

,

Ran Qi

¹

,

Yufeng Wang

¹

,

Jiangxi Liu

¹

,

Baomin Shi

¹