{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T11:30:11Z","timestamp":1772623811503,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2007,10,5]],"date-time":"2007-10-05T00:00:00Z","timestamp":1191542400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2007,10,5]],"date-time":"2007-10-05T00:00:00Z","timestamp":1191542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2007,10,5]],"date-time":"2007-10-05T00:00:00Z","timestamp":1191542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2007,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Biliary injury during cholecystectomy can be managed successfully by biliary reconstruction in the majority of patients; however, a proportion of patients may require hepatic resection or even liver transplantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data on all patients referred with biliary injuries were recorded prospectively. The details of patients who required hepatic resection or transplantation were analyzed and compared to those patients managed with biliary reconstruction alone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From November 1984 until November 2003 there were 119 patients referred with Strasberg grade E injuries to the biliary tree, 14 of whom (9 women, 5\u00a0men) required hepatic resection or transplantation. The median age of these 14 patients was 48 (range: 30\u201381) years. Nine patients were considered for hepatic resection, and of these six underwent right hepatectomy, two had a left lateral sectionectomy, and one patient was deemed unfit for surgery and underwent metal stenting of the right hepatic duct. All patients are alive and remain well. Five patients developed hepatic failure and were considered for liver transplantation. Two patients who were unfit for transplantation died, and another died while on the waiting list for transplantation. The remaining two patients underwent liver transplantation, and one of them died from overwhelming sepsis. Concomitant vascular injury was demonstrated in 8 of the 14 patients (57%), and in 3 of the 4 (75%) patients that died.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Hepatic atrophy or sepsis after biliary injury can be managed successfully with hepatic resection. Liver transplantation is required occasionally for patients with secondary biliary cirrhosis, but is rarely successful for early hepatic failure following iatrogenic biliary injury.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-007-9234-9","type":"journal-article","created":{"date-parts":[[2007,10,4]],"date-time":"2007-10-04T12:54:15Z","timestamp":1191502455000},"page":"2363-2369","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":77,"title":["Liver Resection and Transplantation in the Management of Iatrogenic Biliary Injury"],"prefix":"10.1002","volume":"31","author":[{"given":"B. N. J.","family":"Thomson","sequence":"first","affiliation":[{"name":"Department of Clinical and Surgical Sciences (Surgery) Royal Infirmary of Edinburgh 51 Little France Crescent EH16 4SA Edinburgh United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. W.","family":"Parks","sequence":"additional","affiliation":[{"name":"Department of Clinical and Surgical Sciences (Surgery) Royal Infirmary of Edinburgh 51 Little France Crescent EH16 4SA Edinburgh United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. K.","family":"Madhavan","sequence":"additional","affiliation":[{"name":"Department of Clinical and Surgical Sciences (Surgery) Royal Infirmary of Edinburgh 51 Little France Crescent EH16 4SA Edinburgh United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O. J.","family":"Garden","sequence":"additional","affiliation":[{"name":"Department of Clinical and Surgical Sciences (Surgery) Royal Infirmary of Edinburgh 51 Little France Crescent EH16 4SA Edinburgh United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,10,5]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5266"},{"issue":"4","key":"e_1_2_5_3_2","first-page":"323","article-title":"Posterior hepatic duct injury during laparoscopic cholecystectomy finally necessitating hepatic resection: case report","volume":"3","author":"Ohtsuka T","year":"1999","journal-title":"JSLS"},{"issue":"28","key":"e_1_2_5_4_2","first-page":"2296","article-title":"Right hepatic lobectomy for recurrent cholangitis after bile duct and hepatic artery injury during laparoscopic cholecystectomy: report of a case","volume":"46","author":"Uenishi T","year":"1999","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s005340050145"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02988702"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445\u20102197.2002.02315.x"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-002-4278-2"},{"issue":"3","key":"e_1_2_5_9_2","first-page":"163","article-title":"Biliary reconstruction with right hepatic lobectomy due to delayed management of laparoscopic bile duct injuries: a case report","volume":"58","author":"Ota T","year":"2004","journal-title":"Acta Med Okayama"},{"issue":"56","key":"e_1_2_5_10_2","first-page":"357","article-title":"Surgical strategy for the management of biliary injury in laparoscopic cholecystectomy","volume":"51","author":"Sekido H","year":"2004","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2004.04.005"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4775"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2005.07.003"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/000313480006600410"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001470050173"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1053\/jlts.2002.35557"},{"key":"e_1_2_5_17_2","first-page":"102","article-title":"An analysis of the problem of biliary injury during laparoscopic cholecystectomy","volume":"180","author":"Strasberg SM","year":"1995","journal-title":"J Am Coll Surg"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5194"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010200112000\u201000006"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440\u20101622.1999.01702.x"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010200307000\u201000012"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-002-8705-1"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1091\u2010255X(01)80047\u20100"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-007-9234-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00268-007-9234-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-007-9234-9","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-007-9234-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T15:06:54Z","timestamp":1703603214000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-007-9234-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,10,5]]},"references-count":22,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2007,12]]}},"alternative-id":["10.1007\/s00268-007-9234-9"],"URL":"https:\/\/doi.org\/10.1007\/s00268-007-9234-9","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,10,5]]},"assertion":[{"value":"5 October 2007","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}]}}