Assessment of Cases of Biliary Leakage after Cholecystectomy
European Journal of Molecular & Clinical Medicine,
2023, Volume 10, Issue 2, Pages 309-312
AbstractBackground: To assess cases of biliary leakage after cholecystectomy.
Materials and Methods: We selected 1000 cases in four years from 2019- 2022 of laparoscopic cholecystectomy of both genders. 20 patients of biliary leakage after cholecystectomy of both genders were enrolled and site of bile leak and management were recorded.
Results: Out of 1000 patients of laparoscopic cholecystectomy, males were 450 (45.0%) and females were 550 (55.0%). Out of 20 patients of biliary leak, males were 8 (40%) and females were 12 (60%). Site of injury was CBD in 3 cases, CHD in 8, GB Bed in 5 and cystic duct in 4 cases. The difference was significant (P< 0.05). Management performed was primary suturing in 4, hepaticojejunostomy in 5, conservative with controlled external fistula in 8 and suturing of cystic duct in 3 cases. The difference was significant (P< 0.05).
Conclusion: Bile leak from major bile duct injury should be managed promptly and requires skilled surgical intervention. Management included primary suturing, hepaticojejunostomy, conservative with controlled external fistula in and suturing of cystic duct.
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