Publikasi Scopus FKUI 2021 per tanggal 31 Maret 2021 (187 artikel)

Lalisang T.J.M., Situmorang I., Ibrahim F., Widianto P., Marbun V.M.G.
36623976300;57192894939;57215488702;57221641291;57211643232;
Management of post-cholecystectomy bile duct injuries without operative mortality at Jakarta tertiary hospital in Indonesia – A cross-sectional study
2021
Annals of Medicine and Surgery
62
211
215
Digestive Surgery Division, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Surgery Department, Pelni Hospital, Jakarta, Indonesia; Surgery Department, Persahabatan Hospital, Jakarta, Indonesia
Lalisang, T.J.M., Digestive Surgery Division, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Situmorang, I., Surgery Department, Pelni Hospital, Jakarta, Indonesia; Ibrahim, F., Digestive Surgery Division, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Widianto, P., Surgery Department, Persahabatan Hospital, Jakarta, Indonesia; Marbun, V.M.G., Digestive Surgery Division, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
Background: Bile duct injuries (BDI) can occur after a cholecystectomy procedure performed by any surgeons. These ensured a poor experience for patients and surgeons and marred the minimally invasive surgery approach, which should have promised rapid recovery. This study aimed to evaluate the management of BDI following cholecystectomy procedure in Cipto Mangunkusumo Hospital, Jakarta, as a tertiary hospital. Method: Descriptive retrospective cross-sectional design was used on open and laparoscopic cholecystectomy performed between January 2008 and December 2018. This study is reported in line with STROCSS 2019 Criteria. Result: A total of 24 patients with BDI were included, with female preponderance (62,5%) with a median age 45 (21–58) years. Sixteen post-laparoscopy cases were classified according to Strasberg classification; 6 cases were type E3, 2 cases each of type E1 and E2, and one case each of Strasberg C and D. The remaining 4 were Strasberg A. Eight post-open cases were classified based on Bismuth criteria: 4 cases of Bismuth I, 1 case of Bismuth II, and 3 cases of Bismuth III. Five cases were presented with massive biloma, 7 with jaundice, and 10 cases with biliary-pancreatic fluid production through the surgical drain. The average time of problem recognition to patient's admission was 19 (7–152) days and admission to surgery was 14 days. Roux-en-Y hepaticojejunostomy was performed in 18 cases, choledocho-duodenostomy in 2 cases, and primary ligation cystic duct in 4 cases. Post-operative follow-up showed 2 patients had recurrent cholangitis, 2 superficial surgical site infection, and 2 relaparotomy due to bile anastomosis leakage and burst abdomen. The median length of hospital stay was 38 (14–53) days with zero hospital mortality. No stricture detected in long term follow-up. Conclusion: Common bile duct was the most frequent site of BDI, and Roux-en-Y hepaticojejunostomy reconstruction performed by HPB surgeons on high volume center results in a good outcome. © 2021 The Authors
Bile duct injury; Cholecystectomy; Roux-en-Y-Hepaticojejunostomy
abscess; adult; Article; bile duct injury; biloma; cholangitis; cholecystectomy; choledochoduodenostomy; clinical article; cross-sectional study; endoscopic retrograde cholangiopancreatography; female; hepatojejunostomy; hospitalization; human; jaundice; laparoscopic surgery; laparotomy; length of stay; malnutrition; middle aged; percutaneous transhepatic cholangiography; retrospective study; Roux-en-Y gastric bypass; surgical infection; ultrasound
Elsevier Ltd
20490801
Article
Q3
410
11547