[Bile leakage after laparoscopic cholecystectomy: report of three cases in our experience].
Laparoscopic cholecystectomy (LC) is associated with an higher incidence of bile duct injury than open cholecystectomy. There has been concern and the reason why bile leakages are more frequent with LC is yet unclear. Bile collections can occurr because of major about (75%) or minor (about 25%) injuries. Anyway, external biliary decompression is a key factor in the treatment, in order to avoid an emergency intervention. The Authors report their experience concerning 3 cases of bile leakages among a series of 458 LC. Only in one of the three cases the subhepatic space was not drained and an emergency laparotomy was performed. The Authors, on the basis of their own experience and of the data reported in literature, suggest the routinary intraoperative placement of a drainage into the subhepatic space, to be removed, if no complications occur, one day after surgery.
Sperlongano
P
P
Dipartimento di Scienze Anestesiologiche, Chirurgiche e delle Emergenze, V Divisione di Chirurgia Generale e Tecniche Chirurgiche Speciali, Seconda Università degli Studi di Napoli.
Pisaniello
D
D
Parmeggiani
D
D
Piatto
A
A
Avenia
N
N
d'Ajello
M
M
Monacelli
M
M
Calzolari
F
F
Lucchini
R
R
Parmeggiani
U
U
D000328:Adult; D000465:Algorithms; D001646:Bile; D001652:Bile Ducts / Q000293:injuries*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged