Management of bile leakage caused by clip displacement from cystic duct stumps.
OBJECTIVE
Cystic duct leakage (CDL) is one of the most common complications after laparoscopic cholecystectomy (LC). We retrospectively examined 3 patients with CDL that were treated with endoscopic stenting.


METHODS
From January 1995 to December 2004, 1127 LCs were performed. CDL occurred in 3 cases and a closed suction drain was inserted in 2 of those 3 cases.


RESULTS
The duration from LC to endoscopic retrograde cholangiopancreatography (ERCP) was 2 to 4 days, and the patient without the drain experienced the longest waiting time. Hospital stay was almost identical for all 3 cases. There was an immediate improvement after the procedure.


CONCLUSIONS
It is important to employ accurate technical surgical procedures to prevent complications. ERCP with stent placement and sphincterotomy is an easy and safe diagnostic and therapeutic procedure for CDL, and has a high success rate in resolving leaks.
Ojima
Hitoshi
H
Department of Surgery, Gunma Prefecture Saiseikai-Maebashi Hospital, Gunma, Japan. hojima@showa.gunma-u.ac.jp
Yamauchi
Hayato
H
Yamaki
Ei
E
Idetu
Akihito
A
Hosouchi
Yasuo
Y
Nishida
Yasuji
Y
Kuwano
Hiroyuki
H
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D003549:Cystic Duct; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents