Leak after Laparoscopic Cholecystectomy; Incidence and Management
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 72, Issue 8
Abstract
<strong>Background: </strong>laparoscopic cholecystectomy is currently the procedure of choice for symptomatic gallstones. It has evolved from an innovative, but time-consuming, novelty to a routine day-case procedure over the last 20 years. <strong>Purpose: </strong>to estimate the incidence and management options of post laparoscopic cholecystectomy biliary leaks. Also, it is a trial to advocate a minimally invasive structured management protocol to treat patients with bile leak. <strong>Patients and Methods</strong><strong>: </strong>this study was a case series of 100 patients who underwent laparoscopic cholecsystectomy. We didn’t include patients who had: Biliary leak post Laparoscopic converted to open cholecystectomy. Biliary leak due to other procedures. Biliary leaks managed by open surgery. Biliary injuries discovered and definitively managed intra-operatively. The included patients presented to the General Surgery Department at Manshyt El Bakry General Hospital. Patients’ age ranged from 12 to 65 years and patients’ sex was distributed as 78 females and 22 males. <strong>Results: </strong>in our cases there were two out of the 100 patients suffered from biliary leak ,one of the two cases that were presented with biliary leak after surgery was due to direct injury to accessory duct of Luschka and the other one was due to a slipped clips. <strong>Conclusion: </strong>cholecystectomy is the most frequently performed abdominal operation in the United States, with currently over 700,000 cases occurring per year. Bile leak as a result of cholecystectomy is uncommon. The frequency in large series is less than 2% and in our study it was exactly 2%. And the treatment of that leak varies from conservative treatment to ERCP and stent insertion like we did.
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP584292
- DOI 10.12816/ejhm.2018.10576
- Views 111
- Downloads 0
Evaluation of Carpal Tunnel Diagnosis, Management, and Outcome in Primary Health Care Center
<strong>Background: </strong>Carpal tunnel syndrome (CTS) is one of the commonest conditions encountered in primary care centers as mentioned earlier. CTS of mild to moderate severity can often be effectively treated in...
Comparison between volume-controlled and pressure-controlled ventilation in COPD patients undergoing laparoscopic cholecystectomy
<strong>Background: </strong>Chronic obstructive pulmonary disease (COPD) is a well-known independent risk factor for the development of postoperative pulmonary complications. Managing ventilation and oxygenation during...
Confidence Levels of Intern Doctors during Root Canal Treatment Procedures in Saudi Arabia
<span>Introduction: </span><span>Endodontic is one of the difficult branches in dentistry as it requires special skills to deals with treatment of the root canals. These difficulties comes from anatomical complexities of...
Assessment of Corneal Higher Order Aberrations Before and After Corneal Collagen Cross-Linking in Patients with Keratoconus
<span>Purpose: </span><span>This study aimed at assessing the shortterm effect of corneal collagen crosslinking on higher order aberrations of cornea in patients with keratoconus using corneal topography.<br /> </span><s...
Dose Response Effect of Nitroglycerin on Cardiac Hemodynamic Functions and Myocardial Infarction in a Rat Model of Ischemia Reperfusion
<span>Background: </span><span>Millions of people suffer from acute coronary syndrome, angina, acute myocardial infarction (MI), or related illnesses. These patients are prescribed nitroglycerin (NG) for the management o...