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Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision

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A Review of the Management of Bile Leaks

Cassidy Gawlik¹, Mary Carneval^2,1

¹General Surgery, Ohio University Heritage College of Osteopathic Medicine, Cleveland, USA.

|June 14, 2021

Abstract:

Bile leaks can be a complication of abdominal surgeries, specifically trauma to the biliary system during laparoscopic cholecystectomy, and can occur from a variety of sources, commonly a bile duct injury (BDI). Their management involves a multidisciplinary approach and depends on a multitude of factors. This consequence has also led to increased health care costs and morbidity and mortality for patients. Currently, there are no professional society-initiated guidelines that provide surgeons with a clear algorithm for managing bile leaks, as there are for other operative approaches and management in various surgical diseases. Thus, a literature search was performed that surveyed current research on the effective prevention and management of the different types of bile leaks. This review aims to provide all clinicians with an overview of factors to consider in the management of bile leaks and supports referral to a tertiary center with a hepatobiliary specialist.

Keywords:

bile leak management classification of bile duct injury economic impact endoscopic retrograde cholangiopancreatography (ercp)hepatobiliary specialist laparoscopic cholecystectomy laparoscopic cholecystectomy complication post cholecystectomy bile duct injury prevention strasberg classification

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