Details of patients who developed biliary complications*
No | Age (years)/Gender | Liver resection | Primary complication | Secondary complication | Outcome | |||
Type | Type | Presentation | Management | Type | Management | |||
1 | 1.8/Male | Extended left | Stricture | Obstructive jaundice with dilated IHD within 2 months PO | Bilio-enteric anastomosis | – | – | Persistent jaundice for early recurrence (died) |
2 | 1.4/Female | Extended right and nodulectomy | Leakage | Intra-abdominal collection at day 7 PO with bile on drainage | Primary suturing at day 20 PO | Persistent leak | Conservative (drain for 55 days) | Resolve |
3 | 3.9/Male | Right hepatectomy and nodulectomy | Stricture | Obstructive jaundice 13 days PO with dilated IHD | Non-operative: resolved within 2 months | – | – | Resolve but had recurrence |
4 | 0.8/Male | Extended left | Leakage | Bile in operative drain | Primary suturing at day 4 PO | – | – | Died at day 10 PO (sepsis) |
5 | 0.8/Male | Extended right | Stricture | Obstructive jaundice within 6 months | Bilio-enteric anastomosis | – | – | Resolved |
6 | 1.8/Male | Left hepatectomy and segmentectomy 8 | Leakage | Intra-abdominal collection at day 17 PO with bile on drainage | Non-operative: resolved within 7 days | – | – | Resolved |
7 | 1.5/Male | Extended left | Leakage | Intra-abdominal collection at day 8 PO with bile on drainage | Non-operative: resolved within 2 months | – | – | Resolved |
8 | 6.7/Female | Extended left | Leakage | Bile in operative drain at day 8 PO | Non-operative: resolved within 17 days | Resolved | ||
9 | 2.7/Female | Extended right | Leakage | Intra-abdominal collection at day 8 PO with bile on drainage | Primary suturing at day 33 PO | Stricture | PTBD then bilio-enteric anastomosis | Resolved |
10 | 11.1/Female | Extended right | Leakage | Intra-abdominal collection at day 5 PO with bile on drainage | Non-operative (at least 4 weeks on drain) | – | – | Resolved |
11 | 0.7/Male | Extended right | Leakage | Bile in operative drain at day 12 PO | Non-operative: resolved within 6 weeks | Bilothorax and bronchobiliary fistula | Bilio-enteric anastomosis | Resolve but had recurrence (died) |
12 | 1.0/Male | Extended left and nodulectomy | Leakage | Intra-abdominal collection at day 13 PO with bile on drainage | Non-operative: resolved within 2 months | – | – | Resolve but had recurrence (died) |
*All of them were diagnosed to have hepatoblastoma.
IHD, intrahepatic duct; PO, postoperative; PTBD, percutaneous transhepatic biliary drainage.