{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T15:11:48Z","timestamp":1774365108078,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[1993,7,1]],"date-time":"1993-07-01T00:00:00Z","timestamp":741484800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1993,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>During 7057 conventional cholecystectomies (1972\u20131991), 16 bile duct injuries occurred, amounting to a risk of 0.22%. A total of 1022 laparoscopic cholecystectomies were performed without such a complication since April 1990. In a retrospective study, 64 patients (16 of our patients and 48 referrals) with an injury or stricture due to conventional cholecystectomy were investigated. In 14 of our 16 patients the injury was recognized and immediately repaired with a good long\u2010term result of 93%, including one successful repair of a subsequent stricture. Two cases of unrecognized injury were managed by nonoperative means. The group of 48 referred patients comprised 10 early postoperative complications (21%) and 38 strictures after an \u201cuneventful\u201d cholecystectomy. Of the 64 total patients, 10 (16%) underwent nonoperative treatment, and 54 required surgery. The mean follow\u2010up period after surgery was 7.4 \u00b14.9 years. Most cases (93%) were repaired by bilioenteric anastomosis (i.e., foremost hepaticojejunostomy) with an 18% restricture rate. Including second and third repairs for restricture, a total of 60 operations (14 primary and 46\u00a0secondary reconstructions) were performed without hospital mortality. A good long\u2010term result after stricture repair was achieved in 75% of the patients, whereas 17% had a poor outcome owing to restricture or death (10% had related mortality within 10 years). The other 8% had a moderate result due to recurrent cholangitis. Thus immediate repair of a bile duct injury offers the better chance of a favorable prognosis compared to secondary stricture repair<\/jats:bold>.<\/jats:p>","DOI":"10.1007\/bf01655124","type":"journal-article","created":{"date-parts":[[2005,5,8]],"date-time":"2005-05-08T03:39:28Z","timestamp":1115523568000},"page":"553-562","source":"Crossref","is-referenced-by-count":47,"title":["Management of bile duct injuries and strictures following cholecystectomy"],"prefix":"10.1002","volume":"17","author":[{"given":"M.","family":"Raute","sequence":"first","affiliation":[{"name":"Departments of Surgery, Radiology, and Surgical Endoscopy Mannheim Clinic of Heidelberg University Mannheim Germany"},{"name":"Klinikum Mannheim Chirurgische Universit\u00e4tsklinik Theodor\u2010Kutzer Ufer D\u20106800 Mannheim 1 Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Podlech","sequence":"additional","affiliation":[{"name":"Departments of Surgery, Radiology, and Surgical Endoscopy Mannheim Clinic of Heidelberg University Mannheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W.","family":"Jaschke","sequence":"additional","affiliation":[{"name":"Departments of Surgery, Radiology, and Surgical Endoscopy Mannheim Clinic of Heidelberg University Mannheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. C.","family":"Manegold","sequence":"additional","affiliation":[{"name":"Departments of Surgery, Radiology, and Surgical Endoscopy Mannheim Clinic of Heidelberg University Mannheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Trede","sequence":"additional","affiliation":[{"name":"Departments of Surgery, Radiology, and Surgical Endoscopy Mannheim Clinic of Heidelberg University Mannheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Chir","sequence":"additional","affiliation":[{"name":"Departments of Surgery, Radiology, and Surgical Endoscopy Mannheim Clinic of Heidelberg University Mannheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1993,7]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"073","article-title":"The Southern Surgeons Club. 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