BILE LEAK FROM THE LIVER BED FOLLOWING LAPAROSCOPIC CHOLECYSTECTOMY

被引：17

作者：

EDELMAN, DS

机构：

[1] Department of Surgery, Baptist Hospital, The Gallbladder and Laparoscopic Surgery Center of Miami, Miami, 33176, FL, 8720 North Kendall Drive

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1994年 / 8卷 / 03期

关键词：

BILE LEAK; COMPLICATIONS OF LAPAROSCOPIC CHOLECYSTECTOMY; ACCESSORY BILE DUCTS;

D O I：

10.1007/BF00591831

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Intraperitoneal accumulation of bile from accessory bile ducts following cholecystectomy is an uncommon, but well-described, occurrence. It is not unique to laparoscopic cholecystectomy. The presence of accessory channels between the liver and gallbladder has long been recognized by anatomists and surgeons. They are commonly known as the ''ducts of Luschka''. Recognition and treatment of liver bed bile leaks vary. Usually the surgeon can treat this problem without an exploratory celiotomy depending on availability of ERCP or interventional radiology. This article will review clinical diagnosis, radiologic confirmation, and treatment for this complication.

引用

页码：205 / 207

页数：3

共 15 条

[1]

Andersson R., Tranberg K.G., Bengmark S., Isolated intraperitoneal accumulation of bile after surgical or diagnostic procedures, Acta Chir Scan, 154, 5-6, pp. 375-377, (1988)

[2]

Bailey R.W., Zucker K.A., Flowers J.L., Scoval W.A., Graham S.M., Imbembo A.L., Laparoscopic cholecystectomy, Ann Surg, 214, 4, pp. 531-541, (1991)

[3]

Davidoff A.M., Pappas T.N., Murray E.L., Hilleren D.J., Johnson T.D., Baker M.E., Newman G.E., Cotton P.B., Meyers W.C., Mechanisms of major biliary injury during laparoscopic cholecystectomy, Ann Surg, 215, 3, pp. 196-202, (1992)

[4]

Gelman R., Alexander, Zucker K.A., The use of radionuclide imaging in the evaluation of suspected biliary damage during laparoscopic cholecystectomy, Gastrointest Radiol, 16, pp. 201-204, (1991)

[5]

Henry M.L., Carey L.C., Complications of cholecystectomy, SCNA, 63, 6, pp. 1191-1204, (1983)

[6]

Hopkinson G.B., Woodward D.A., Prasad N., Identification of accessory bile ducts at cholecystectomy, Ann Royal Coll Surg Engl, 65, 5, pp. 323-324, (1983)

[7]

Klotz H.P., Schlumpf R., Largiader F., Injury to an accessory bile duct during laparoscopic cholecystectomy, Surg Laparosc Endosc, 2, 4, pp. 317-320, (1992)

[8]

Moosa A.R., Easter D.W., Sonnernber E.V., Casola G., D'Agnostino H., Laparoscopic injuries to the bile duct, Annals of Surgery, 215, 3, pp. 203-208, (1992)

[9]

Patel M., Oates E., Postcholecystectomy bile leak, Clin Nuc Med, 13, 11, pp. 805-807, (1988)

[10]

Peters J.H., Gibbons G.D., Innes J.T., Nickols K.E., Front M.E., Roby S.R., Ellison E.C., Complications of laparoscopic cholecystectomy, Surgery, 110, 4, pp. 769-778, (1991)

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