Bile Leaks After Laparoscopic Cholecystectomy

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Diagnosis of Bile Leaks • Clinical manifestations of bile leaks include abdominal tenderness, generalized malaise and anorexia. • Bile drainage from drains placed at the initial operation. • Diagnosis of bile leak should be suspected whenever persistent bloating and anorexia last for more than a few days; failure to recover as smoothly as expected is the most common early symptom of an intraabdominal bile collection.
• Minor bile leakage is common after open or laparoscopic cholecystectomy and is often related to disruption of small branches of the right intrahepatic duct entering the gallbladder bed. • These leaks, usually from the liver, occurred in 25% of 105 patients prospectively evaluated with ultrasonography by Elboim et al. • Such leaks may require no therapy, surgical placement of a drain at the time of the original procedure, or subsequent placement of a percutaneous drain for symptomatic bilomas that are recognized postoperatively.
Page 1 and 2: Bile Leaks After Laparoscopic Chole
Page 3 and 4: • As surgeons passed through lear
Page 5 and 6: • The aberrant right hepatic duct
Page 7 and 8: • In 1995, Strasberg and Soper mo
Page 9 and 10: Classification of Biliary Duct Inju
Page 11 and 12: • Routine intraoperative cholangi
Page 13: • Significant postoperative bile
Page 17: • ERCP and percutaneous transhepa
Page 20 and 21: • In cases where there is a bile
Page 22 and 23: • In the past, nasobiliary drains
Page 24 and 25: • Intrahepatic bile duct injuries

Bile Leaks After Laparoscopic Cholecystectomy

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