TY - JOUR
T1 - Minimally invasive management of bile leak after laparoscopic cholecystectomy
AU - Tzovaras, G.
AU - Peyser, P.
AU - Kow, L.
AU - Wilson, T.
AU - Padbury, R.
AU - Toouli, J.
PY - 2001/6
Y1 - 2001/6
N2 - 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 and methods: 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.
AB - 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 and methods: 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.
KW - Bile leak
KW - ERCP
KW - Laparoscopic cholecystectomy
UR - http://www.scopus.com/inward/record.url?scp=0035708748&partnerID=8YFLogxK
U2 - 10.1080/136518201317077189
DO - 10.1080/136518201317077189
M3 - Editorial
AN - SCOPUS:0035708748
VL - 3
SP - 165
EP - 168
JO - HPB: The Official Journal of The IHPBA, EHPBA and AHPBA
JF - HPB: The Official Journal of The IHPBA, EHPBA and AHPBA
SN - 1365-182X
IS - 2
ER -