Features and management of bile leaks after laparoscopic cholecystectomy View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2005-02

AUTHORS

Taizo Kimura, Kennji Suzuki, Yasuhiko Umehara, Akihiro Kawabe, Hidetoshi Wada

ABSTRACT

Background/purposeLeakage of bile is one of the troublesome complications after laparoscopic cholecystectomy.MethodsThe present study reviewed our experience with this complication, in order to analyze its characteristics and proper management.ResultsPostoperative bile leaks occurred in 23 of 1365 patients (1.7%) undergoing laparoscopic cholecystectomy from July 1990 to May 2002, with the policy of routine operative cholangiography and routine drainage of the gallbladder bed. These patients could be divided into four types. In type 1 (17 patients), bile leakage stopped spontaneously within 3 days (subclinical group). In type 2 (3 patients), the leak continued for longer than 3 days but was controlled by an endoscopic nasobiliary drainage (ENBD tube; minor-leakage group). In type 3 (2 patients), bile leakage continued for longer than 3 days and required open repair (major-leakage group). In type 4 (1 patient), bile leakage started several days after surgery (delayed-leakage group).ConclusionsIt is thought that better understanding of these four types of bile leakage should help in the proper management of this complication. More... »

PAGES

61-64

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00534-004-0935-2

DOI

http://dx.doi.org/10.1007/s00534-004-0935-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1007901325

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/15754102


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