Summary
Laparoscopic cholecystectomy has now become the preferred surgical approach to symptomatic cholelithiasis. With the widespread use of this technique there have appeared reports of complications. We report the case of a patient who developed a cystic duct stump bile leak after laparoscopic cholecystectomy. Percutaneous drainage of the biloma, endoscopic retrograde cholangiopancreatography and papillotomy led to resolution of the problem. The literature on cystic duct stump leaks after laparoscopic cholecystectomy is reviewed and the various therapeutic modalities are outlined.
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References
Andren-Sanberg A, Johansson S, Bengmark S (1985) Accidental lesions of the common bile duct at cholecystectomy. Ann Surg 201: 452–455
Blumgart LH, Kelley CJ, Benjamin JS (1984) Benign bile duct structure following cholecystectomy: critical factors in management. Br J Surg 71: 836–843
Dion YM, Morin J (1990) Laparoscopic cholecystectomy: a report of 60 cases. Can J Surg 33: 483–486
Dubois F, Icard P, Berthelot G, Levard H (1990) Coelioscopic cholecystectomy. Ann Surg 211: 60–62
Gadacz TR, Talamini MA, Lillemoe KD, Yeo CJ (1990) Laparoscopic cholecystectomy. Surg Clin North Am 70: 1249–1263
Goldin E, Katz E, Wengrower D, Kluger Y, Haskel L, Shiloni E, Libson E (1990) Treatment of fistulas of the biliary tract by endoscopic insertion of endoprosthesis. Surg Gynecol Obstet 170: 418–423
Hillis TM, Westbrook KC, Caldwell FT, Read RC (1977) Surgical injury of the common bile duct. Am J Surg 134: 712–716
Kozarek R, Gannon R, Baerg R, Wagonfeld J, Ball T (1991) Bile leak following laparoscopic cholecystectomy. Gastrointest Endosc 37: 248 (A)
Kozarek RA, Traverso LW (1991) Endoscopic stent placement for cystic duct leak after laparoscopic cholecystectomy. Gastrointest Endosc 37: 71–73
McSherry CK, Glenn F (1980) The incidence and causes of death following surgery for non-malignant biliary tract disease. Ann Surg 191: 271–276
Perissat J, Collet DR, Belliard R (1989) Gallstones: laparoscopic treatment intracorporeal lithotripsy followed by cholecystostomy or cholecystectomy: a personal technique. Endoscopy 21: 373–374
Peters JH, Ellison EC, Innes JT, Liss JL, Nichols KE, Lomano JM, Roby SR, Front ME, Carey LC (1991) Safety and efficacy of laparoscopic cholecystectomy. Ann Surg 213: 1–12
Ponchon T, Gallez JF, Valette PJ, Chavaillon A, Bory R (1989) Endoscopic treatment of biliary tract fistulas. Gastrointest Endosc 35: 490–498
Reddick EJ, Olsen DO (1989) Laparoscopic laser cholecystectomy. Surg Endosc 3: 131–133
Sauerbruch T, Weinzieri M, Holl J, Pratschke E (1986) Treatment of postoperative bile fistulas by internal endoscopic biliary drainage. Gastroenterology 90: 1998–2003
Smith AC, Schapiro RH, Kelsey PB, Warshaw AL (1986) Successful treatment of non-healing biliary-cutaneous fistulas with biliary stents. Gastroenterology 90: 764–769
Southern Surgeons Club (1991) A prospective analysis of 1518 laparoscopic cholecystectomies. N Eng J Med 324: 1074–1078
Vansonnerbeng E, Casola G, Wittich GR (1990) The role of interventional radiology for complications of cholecystectomy. Br J Surg 77: 826–832
Voyles CR, Petro AB, Meena AL, Haick AJ, Koury AM (1991) A practical approach to laparoscopic cholecystectomy. Am J Surg 161: 365–370
Zucker RA, Bailey RW, Gadacz TR, Imbembo AL (1990) Laparoscopic cholecystectomy: a plea for cautious enthusiasm. Presented at the SSAT Plenary Session. San Antonio, Texas May 1990
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Ralph-Edwards, T., Himal, H.S. Bile leak after laparoscopic cholecystectomy. Surg Endosc 6, 33–35 (1992). https://doi.org/10.1007/BF00591185
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DOI: https://doi.org/10.1007/BF00591185