title: [Conservative treatment of the bile leak after of laparoscopic cholecystectomy].
abstract: OBJECTIVE
  to report the outcome of conservative treatment in patients with bile lake (BL) after of laparoscopic cholecystectomy, using basic diagnosis methods and clinic monitoring.
  
  
  METHODS
  six hundred and fifty eight patients underwent laparoscopic cholecystectomy. They were evaluated according to their medical history, hepatic function panel, amylase, gallbladder and bile ducts ultrasonographic pattern. In cases of suspected choledocholithiasis a selective intraoperative cholangiography was performed. For patients whit BL a controlled monitoring system was established, checking vital signs, abdominal symptoms; BL was quantificated until it's remission. These patients were under surveillance for a year.
  
  
  RESULTS
  thirteen patients (1.9 %) out of 658 presented BL. Two males and 11 females, with an average age of 43. The initial BL average was 71.1 mL in 24 hours and the average number of days with the conservative treatment was 7.3. All patients had a favorable clinical evolution except for one who presented BL for a period of 18 days coincident with a subhepatic abscess that was drained.
  
  
  CONCLUSIONS
  BL after laparoscopic cholecystectomy can be treated in a safe and effective way, monitoring with clinical elements and basic laboratory and imaging resources.
authors.affiliation: Hospital General Regional 36, Instituto Mexicano del Seguro Social, Puebla, México. marioapaca@hotmail.com
authors.forename: Mario Abraham
authors.initials: MA
authors.lastname: Pacahuala-Del Carmen
authors.forename: Martín Ramiro
authors.initials: MR
authors.lastname: Enríquez-Adalid
mesh_terms: D000328:Adult; D000368:Aged; D001646:Bile; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy