Prospective evaluation of the International Study Group for Liver Surgery definition of bile leak after a liver resection and the role of routine operative drainage: an international multicentre study.
HPB (Oxford)
; 17(1): 46-51, 2015 Jan.
Article
em En
| MEDLINE
| ID: mdl-25059275
ABSTRACT
BACKGROUND:
The International Study Group for Liver Surgery (ISGLS) proposed a definition for bile leak after liver surgery. A multicentre international prospective study was designed to evaluate this definition.METHODS:
Data collected prospectively from 949 consecutive patients on specific datasheets from 11 international centres were collated centrally.RESULTS:
Bile leak occurred in 69 (7.3%) of patients, with 31 (3.3%), 32 (3.4%) and 6 (0.6%) classified as grade A, B and C, respectively. The grading system of severity correlated with the Dindo complication classification system (P < 0.001). Hospital length of stay was increased when bile leak occurred, from a median of 7 to 15 days (P < 0.001), as was intensive care stay (P < 0.001), and both correlated with increased severity grading of bile leak (P < 0.001). 96% of bile leaks occurred in patients with intra-operative drains. Drain placement did not prevent subsequent intervention in the bile leak group with a 5-15 times greater risk of intervention required in this group (P < 0.001).CONCLUSION:
The ISGLS definition of bile leak after liver surgery appears robust and intra-operative drain usage did not prevent the need for subsequent drain placement.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Doenças Biliares
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Drenagem
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Fístula Anastomótica
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Hepatectomia
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Neoplasias Hepáticas
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Terminologia como Assunto
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article