Bile leak from the liver bed following laparoscopic cholecystectomy |
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Authors: | D. S. Edelman |
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Affiliation: | (1) Department of Surgery, Baptist Hospital, The Gallbladder and Laparoscopic Surgery Center of Miami, 8720 North Kendall Drive, #204, 33176 Miami, FL, USA |
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Abstract: | 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. |
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Keywords: | Bile leak Complications of laparoscopic cholecystectomy Accessory bile ducts |
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