Bile leak from the hepatic bed after laparoscopic cholecystectomy.
The aim of our study was to identify the best treatment for bile leakage from the gallbladder or hepatic bed as a result of laparoscopic cholecystectomy. Two hundred and fifty laparoscopic cholecystectomies were performed in our department from January 1997 to January 1999 and bile leak was identified in 5 cases (2%). In one case, a right subphrenic collection was detected and resolved with a percutaneous drainage. At ERCP all cases showed a small leak from an accessory hepatic duct (2 pts.) or from the hepatic bed (3 pts.), successfully managed with an immediate endoscopic sphincterotomy, with placement of a nasobiliary tube or a biliary endoprosthesis. The incidence of leakage from an accessory hepatic or from Luschka's duct is not well known. This complication can be successfully managed with endoscopic treatment.
Rossi
Paolo
P
Department of Surgical Science, University of Perugia, Via Cortonese, 5, 06100 Perugia.
Servili
Stefano
S
Contine
Alessandro
A
Lucaroni Elena
Graziosi
Luigina
L
Carbone
Erminia
E
Annesi
Matteo
M
Framarini
Massimo
M
Tristaino
Benedetto
B
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001646:Bile; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002764:Cholecystitis / Q000601:surgery; D004487:Edema / Q000601:surgery; D004630:Emergencies; D004653:Empyema / Q000601:surgery; D005705:Gallbladder Diseases / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D016717:Sphincterotomy, Endoscopic