Postoperative Bile Duct Injuries

Ghassemi, Kourosh F.; Shah, Janak N.

doi:10.1016/j.tgie.2006.03.005

Cited by 5 publications

(2 citation statements)

References 71 publications

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“…Bile duct injuries are often characterized by dangerous leakage and extravasation of bile and can occur following surgery or trauma [1]. Postsurgical bile duct leaks (BDL) are the most frequent complication of cholecystectomy, with incidence ranging from 0.06 to 0.3% during open cholecystectomy [2][3][4] and 0.5% to 1.4% during laparoscopic cholecystectomy [5] but may occur after other hepatobiliary procedures [6].…”

Section: Introductionmentioning

confidence: 99%

Percutaneous or Endoscopic Treatment of Peripheral Bile Duct Leaks: Initial Experience with an Innovative Approach of Microcatheter-Delivered Argon Plasma Coagulation

Lafuente¹,

Oviedo²,

Miranda³

et al. 2022

Cardiovasc Intervent Radiol

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Purpose Biliary ductal injuries are challenging to treat, and often lead to severe morbidity and mortality. The firstline approach involves endoscopic retrograde cholangiopancreatography with sphincterotomy and, in case of refractory leakage, long-lasting percutaneous transhepatic biliary drainage, endoscopic or percutaneous injection of sclerosing agents and/or coiling can be used. We describe a treatment procedure using microcatheter-mediated percutaneous or endoscopic argon plasma coagulation (APC). Materials and Methods Three patients (7-year-old male, 14-year-old male, 81-year-old female) with refractory postsurgical and/or post-traumatic bile leaks underwent percutaneous (n = 2) or endoscopic (n = 1) APC through a detachable microcatheter. ResultsThe procedure was technically feasible in all patients. Postoperative imaging showed complete occlusion of biliary leakage. The technique was uneventful intraoperatively with no adverse events occurring during recovery or follow-up. Conclusion Our initial experience demonstrates that refractory bile duct leaks may be successfully treated with microcatheter-mediated APC endoscopically or percutaneously. Further research is needed to confirm the safety, efficacy, and clinical indications for this innovative technique.

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Section: Introductionmentioning

confidence: 99%

Percutaneous or Endoscopic Treatment of Peripheral Bile Duct Leaks: Initial Experience with an Innovative Approach of Microcatheter-Delivered Argon Plasma Coagulation

Lafuente¹,

Oviedo²,

Miranda³

et al. 2022

Cardiovasc Intervent Radiol

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“…Las lesiones vasculares del árbol biliar también se incluyen, y pueden ser de las arterias hepáticas, común, derecha o izquierda, así como de la vena porta. Estas alteraciones se expresan como secciones completas o incompletas, fuga de los conductos biliares con engrapado, o ligadura parcial o total de estos, siendo la más frecuente de las complicaciones la fuga biliar y correspondiendo a menos del 2% de estas lesiones la resección completa 3,4 .…”

Section: Introductionunclassified

Lesiones de la vía biliar más frecuentes caracterizadas por colangiografía percutánea. Experiencia en un año en el servicio de radiología intervencionista

Ríos-Hernández¹,

Guerrero‐Avendaño²

2019

ARM

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Early Cholecystectomy Is Superior to Delayed Cholecystectomy for Acute Cholecystitis: a Meta-analysis

Cao

Eslick

Cox

2015

Journal of Gastrointestinal Surgery

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Early laparoscopic cholecystectomy in acute cholecystitis demonstrated decreased incidence of wound infections, a shorter total length of stay and decreased costs with no difference in the rates of mortality, bile duct injuries, bile leaks and conversions. These results support that early laparoscopic cholecystectomy is the best care and should be considered a routine in patients presenting with acute cholecystitis.

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Postoperative Bile Duct Injuries

Cited by 5 publications

References 71 publications

Percutaneous or Endoscopic Treatment of Peripheral Bile Duct Leaks: Initial Experience with an Innovative Approach of Microcatheter-Delivered Argon Plasma Coagulation

Percutaneous or Endoscopic Treatment of Peripheral Bile Duct Leaks: Initial Experience with an Innovative Approach of Microcatheter-Delivered Argon Plasma Coagulation

Lesiones de la vía biliar más frecuentes caracterizadas por colangiografía percutánea. Experiencia en un año en el servicio de radiología intervencionista

Early Cholecystectomy Is Superior to Delayed Cholecystectomy for Acute Cholecystitis: a Meta-analysis

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