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Bile leak management following laparoscopic cholecystectomy
Author
al-Isa, Ali Abd al-Halim Kazim
Source
Issue
Vol. 13, Issue 3 (30 Sep. 2016), pp.580-587, 8 p.
Publisher
University of Babylon College of Medicine
Publication Date
2016-09-30
Country of Publication
Iraq
No. of Pages
8
Main Subjects
Abstract EN
Laparoscopy now is the gold standard technique for cholecystectomy.
Post laparoscopic cholecystectomy (LC) bile leak may occur.
This prospective studyincludes 38 patientsfrom a period of May 2014 to May 2016 in Hilla teaching general hospital to assess options of management of bile leakfollowing LC.Conservative supportive measures alone was successful in 20 patients.ERCP intervention applied in 9 patients with a stent application, papillatomy or CBD stone extractionwith subsequent resolution.
Explorative laparotomy by expert surgical team was done for 9 patients with Roux-en-Y-hepaticojejunostomy as a result of iatrogenicmassive injury to main biliary duct.
Mortality rate was zero.Male to female ratio was 2:1 for whole bile leaked patients, and 3:1 for patients treated with interventions.
Post laparoscopic cholecystectomy bile leak can be managed conservatively with close monitoring in a start.MRCP is valuable noninvasive test to assess biliary duct system.
ERCP as a diagnostic and therapeutic measure was effective minimal invasive approach to control leak.
Laparoscopic cholecystectomy should be performed meticulously in order to avoid catastrophic biliary ductal injury with a wise conversion to open when indicated.
Proper clipping technique of cystic duct is essential to avoid cystic duct leak.
American Psychological Association (APA)
al-Isa, Ali Abd al-Halim Kazim. 2016. Bile leak management following laparoscopic cholecystectomy. Medical Journal of Babylon،Vol. 13, no. 3, pp.580-587.
https://search.emarefa.net/detail/BIM-758812
Modern Language Association (MLA)
al-Isa, Ali Abd al-Halim Kazim. Bile leak management following laparoscopic cholecystectomy. Medical Journal of Babylon Vol. 13, no. 3 (2016), pp.580-587.
https://search.emarefa.net/detail/BIM-758812
American Medical Association (AMA)
al-Isa, Ali Abd al-Halim Kazim. Bile leak management following laparoscopic cholecystectomy. Medical Journal of Babylon. 2016. Vol. 13, no. 3, pp.580-587.
https://search.emarefa.net/detail/BIM-758812
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 586-587
Record ID
BIM-758812