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Updated: Jul 15, 2026

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
Management of bile leakage caused by clip displacement from cystic duct stumps
Hitoshi Ojima1, Hayato Yamauchi, Ei Yamaki
1Department of Surgery, Gunma Prefecture Saiseikai-Maebashi Hospital, Gunma, Japan. hojima@showa.gunma-u.ac.jp
Background/Aims:
Cystic duct leakage (CDL) is one of the most common complications after laparoscopic cholecystectomy (LC). We retrospectively examined 3 patients with CDL that were treated with endoscopic stenting.
Methodology:
From January 1995 to December 2004, 1127 LCs were performed. CDL occurred in 3 cases and a closed suction drain was inserted in 2 of those 3 cases.
Results:
The duration from LC to endoscopic retrograde cholangiopancreatography (ERCP) was 2 to 4 days, and the patient without the drain experienced the longest waiting time. Hospital stay was almost identical for all 3 cases. There was an immediate improvement after the procedure.
Conclusions:
It is important to employ accurate technical surgical procedures to prevent complications. ERCP with stent placement and sphincterotomy is an easy and safe diagnostic and therapeutic procedure for CDL, and has a high success rate in resolving leaks.
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