Minimally invasive management of bile leak after laparoscopic cholecystectomy.
HPB (Oxford)
; 3(2): 165-8, 2001.
Article
em En
| MEDLINE
| ID: mdl-18332919
ABSTRACT
BACKGROUND:
Bile leakage is an uncommon complication of cholecystectomy.The bile may originate from the gallbladder bed, the cystic duct or rarely from injury to a major bile duct.This study aims to evaluate the efficacy of minimal access endoscopic and percutaneous techniques in treating symptomatic bile leak. PATIENTS ANDMETHODS:
Twenty-one patients with symptomatic bile leak following laparoscopic cholecystectomy underwent assessment of the extent of the bile leak via ultrasound/CT and ERCP. Following diagnosis, the patients were treated by sphincterotomy and biliary drainage and, if necessary, percutaneous drainage of the bile collection.RESULTS:
Only one patient required primary surgical treatment following diagnosis of a major duct injury.The other 20 were treated by a combination of sphincterotomy (including a stent in most) plus percutaneous drainage in six. In 19 of 20, this minimal access approach stopped the leak.DISCUSSION:
Most patients who present with bile leakage after cholecystectomy can be managed successfully by means of ERCP with percutaneous drainage of any large bile collection.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
HPB (Oxford)
Assunto da revista:
TERAPEUTICA
Ano de publicação:
2001
Tipo de documento:
Article
País de afiliação:
Austrália