+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Minimally invasive management of bile leak after laparoscopic cholecystectomy



Minimally invasive management of bile leak after laparoscopic cholecystectomy



Hpb 3(2): 165-168



Bile leakage is an uncommon complication of cholecystectomy.The bile may originate from the gallbladder bed, the cystic duct or rarely from injury to a major bile duct.This study aims to evaluate the efficacy of minimal access endoscopic and percutaneous techniques in treating symptomatic bile leak. Twenty-one patients with symptomatic bile leak following laparoscopic cholecystectomy underwent assessment of the extent of the bile leak via ultrasound/CT and ERCP. Following diagnosis, the patients were treated by sphincterotomy and biliary drainage and, if necessary, percutaneous drainage of the bile collection. Only one patient required primary surgical treatment following diagnosis of a major duct injury.The other 20 were treated by a combination of sphincterotomy (including a stent in most) plus percutaneous drainage in six. In 19 of 20, this minimal access approach stopped the leak. Most patients who present with bile leakage after cholecystectomy can be managed successfully by means of ERCP with percutaneous drainage of any large bile collection.

(PDF emailed within 0-6 h: $19.90)

Accession: 054393696

Download citation: RISBibTeXText

PMID: 18332919

DOI: 10.1080/136518201317077189


Related references

Minimally invasive surgery. Bile leak risk after laparoscopic cholecystectomy. Bmj 308(6922): 199-199, 1994

Bile leak following an elective laparoscopic cholecystectomy: the role of hepatobiliary imaging in the diagnosis and management of bile leaks. Journal of Nuclear Medicine 32(9): 1777-1781, 1991

An algorithm for the management of bile leak following laparoscopic cholecystectomy. Annals of the Royal College of Surgeons of England 89(1): 51-56, 2007

Bile leak following laparoscopic cholecystectomy Management in a community hospital. Gastroenterology 114(4 PART 2): A521, April 15, 1998

Management of patients who return to the hospital with a bile leak after laparoscopic cholecystectomy. Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A 20(4): 317-322, 2010

Endoscopic management of post laparoscopic cholecystectomy bile leak in a child. Gastrointestinal Endoscopy 51(4 Pt 1): 506-507, 2000

Hepatobiliary scintigraphy. An effective tool in the management of bile leak following laparoscopic cholecystectomy. Clinical Imaging 28(1): 40-43, 2004

Case report: Radiological and endoscopic management of bile leak following laparoscopic cholecystectomy. Journal of Gastroenterology and Hepatology 12(1): 34-38, 1997

Management of Bile Leak from Luschka Ducts After Laparoscopic Cholecystectomy: An Original Procedure for Coil Embolization. Cardiovascular and Interventional Radiology 39(3): 483-486, 2015

Minimally invasive approach (robotic and laparoscopic) to biliary-enteric fistula secondary to cholecystectomy bile duct injury. Journal of Robotic Surgery, 2017

Minimally invasive management of biliary complications after laparoscopic cholecystectomy. European Journal of Internal Medicine 20(7): 686-689, 2010

Successful use of an HMG-CoA reductase inhibitor as adjunctive therapy in the management of refractory bile leak complicating laparoscopic cholecystectomy. American Journal of Gastroenterology 93(12): 2602-2603, 1998

Acetic acid sclerotherapy for treatment of a bile leak from an isolated bile duct after laparoscopic cholecystectomy. Cardiovascular and Interventional Radiology 34 Suppl 2: S303-S306, 2011

Management of chylous ascites after laparoscopic cholecystectomy using minimally invasive techniques: a case report and literature review. American Surgeon 72(1): 60-63, 2006

HIDA-99mTc scanning in demonstrating bile leak after laparoscopic cholecystectomy--an unusual pattern of peritoneal bile distribution. Nuclear Medicine Review. Central & Eastern Europe 2(1): 34-35, 2003