{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T07:28:54Z","timestamp":1791444534605,"version":"4.3.3"},"reference-count":60,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2012,6,14]],"date-time":"2012-06-14T00:00:00Z","timestamp":1339632000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,7,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Combined vasculobiliary injury is a serious complication of cholecystectomy. This study examined medium- to long-term outcomes after such injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients referred to this institution with Strasberg type E bile duct injuries were identified from a prospectively maintained database (1990\u20132010). Long-term outcomes were evaluated by chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty-three patients were referred with bile duct injury alone (45 patients) or vasculobiliary injury (18). Thirty patients (48 per cent) had septic complications before transfer. Twenty-six patients (41 per cent) had long-term biliary complications over a median follow-up of 96 (range 12\u2013245) months. Nine patients (3 with bile duct injury, 6 with vasculobiliary injury) required further interventions after a median of 22 (8\u201338) months; five required biliary surgical revision and four percutaneous dilatation of biliary strictures. Vasculobiliary injury and injury-related sepsis were independent risk factors for treatment failure: hazard ratio 7\u00b779 (95 per cent confidence interval 2\u00b780 to 21\u00b770; P &amp;lt; 0\u00b7001) and 4\u00b782 (1\u00b769 to 13\u00b768; P = 0\u00b7003) respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Outcome following bile duct injury repair was worse in patients with concomitant vasculobiliary injury and\/or sepsis.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bjs.8806","type":"journal-article","created":{"date-parts":[[2012,6,14]],"date-time":"2012-06-14T10:19:30Z","timestamp":1339669170000},"page":"1129-1136","source":"Crossref","is-referenced-by-count":50,"title":["Cholecystectomy-related bile duct and vasculobiliary injuries"],"prefix":"10.1093","volume":"99","author":[{"given":"G","family":"Sarno","sequence":"first","affiliation":[{"name":"North Western Hepatobiliary Unit, University Hospital Aintree, Liverpool L7 9AL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A A","family":"Al-Sarira","sequence":"additional","affiliation":[{"name":"North Western Hepatobiliary Unit, University Hospital Aintree, Liverpool L7 9AL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Ghaneh","sequence":"additional","affiliation":[{"name":"North Western Hepatobiliary Unit, University Hospital Aintree, Liverpool L7 9AL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S W","family":"Fenwick","sequence":"additional","affiliation":[{"name":"North Western Hepatobiliary Unit, University Hospital Aintree, Liverpool L7 9AL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H Z","family":"Malik","sequence":"additional","affiliation":[{"name":"North Western Hepatobiliary Unit, University Hospital Aintree, Liverpool L7 9AL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G J","family":"Poston","sequence":"additional","affiliation":[{"name":"North Western Hepatobiliary Unit, University Hospital Aintree, Liverpool L7 9AL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2012,6,14]]},"reference":[{"key":"2021031607094266400_bib1","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1097\/00000658-199308000-00003","article-title":"Open cholecystectomy. 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