A prospective study of bile leaks after laparoscopic cholecystectomy

2001 ◽  
Vol 15 (11) ◽  
pp. 1299-1300 ◽  
Author(s):  
D.M. Hasl ◽  
O.R. Ruiz ◽  
J. Baumert ◽  
C. Gerace ◽  
J.A. Matyas ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Prospective Study ◽  
A Prospective Study ◽  
Bile Leaks

A Prospective Study of Bile Leaks after Laparoscopic Cholecystectomy for Acute Cholecystitis

2006 ◽  
Vol 72 (3) ◽  
pp. 265-268 ◽  
Author(s):  
Edward P. Dominguez ◽  
Dave Giammar ◽  
John Baumert ◽  
Oscar Ruiz
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Prospective Study ◽  
Acute Cholecystitis ◽  
Effective Treatment ◽  
Open Cholecystectomy ◽  
Bile Leak ◽  
Elective Setting ◽  
A Prospective Study ◽  
Bile Leaks

Surgeons are increasingly performing laparoscopic cholecystectomy in the setting of acute cholecystitis. The acutely inflamed gallbladder poses a more technically demanding dissection with potential for an increase in bile leak rates. Clinical and subclinical bile leak rates after laparoscopic and open cholecystectomy in the elective setting are known. This study prospectively evaluates the rate of clinical and subclinical bile leaks after laparoscopic cholecystectomy in the setting of acute cholecystitis. One hundred patients underwent laparoscopic cholecystectomy for acute cholecystitis, as determined intraoperatively and by history, ultrasound, fever, or leukocytosis. On postoperative Day 1, the patients underwent cholescintigraphy (PIPIDA scan) analyzed by a board-certified radiologist for evidence of bile leaks. Postoperative cholescintigraphy revealed eight scans positive for bile leaks. Regardless of scan result, no patient experienced a clinically symptomatic bile leak. Laparoscopic cholecystectomy is a safe and effective treatment for acute cholecystitis with acceptable clinical and subclinical bile leak rates.

Scintigraphic Diagnosis of Bile Leakage after Laparoscopic Cholecystectomy: A Prospective Study

1992 ◽  
Vol 17 (9) ◽  
pp. 697-700 ◽  
Author(s):  
HUUB L. M. PASMANS ◽  
PETER ◽  
DIRK J. GOUMA ◽  
GUIDO A. K. HEIDENDAL ◽  
JOSEPH M. A. van ENGELSHOVEN ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Prospective Study ◽  
Bile Leakage ◽  
A Prospective Study
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