Management of bile leaks following laparoscopic cholecystectomy View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1993-07

AUTHORS

David C. Brooks, James M. Becker, Pamela J. Connors, David L. Carr-Locke

ABSTRACT

In a series of 650 consecutive laparoscopic cholecystectomies, nine bile leaks were identified (1.4%). Patients with bile leaks presented clinically at a mean of 4.9 days (range: 3–8 days) after surgery complaining of diffuse abdominal pain, ileus, and nausea. Laboratory values for complete blood counts and liver function tests were all mildly elevated. Definitive diagnosis was made on the basis of abnormal hepatobiliary scintigraphy. Management strategies included laparotomy and drain placement (n=1), laparoscopy and drain placement (n=3), ERCP and drainage (n=4), and CT-guided percutaneous drainage (n=1). When the etiology of the leakage was identified, it was most commonly either dysfunction of the cystic duct clips (n=3) or leakage from a disrupted duct of Luschka (n=2). The source of the remaining leaks (n=4) was never determined. We conclude that bile leaks are an uncommon cause of morbidity following laparoscopic cholecystectomy. Diagnosis can usually be made with nuclear medicine biliary tract scans and a variety of managements alternatives are successful in treating this complication. More... »

PAGES

292-295

References to SciGraph publications

  • 1989-09. Laparoscopic laser cholecystectomy in SURGICAL ENDOSCOPY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/bf00725942

    DOI

    http://dx.doi.org/10.1007/bf00725942

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1048543376

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/8351598


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