Intraperitoneal bile collections after laparoscopic cholecystectomy : Causes, clinical presentation, diagnosis, and treatment
Bile leakage is more common after laparoscopic cholecystectomy than after open surgery. In our department, the rate of postoperative bile collections after open surgery is 0.2% vs 0.6% after laparoscopic cholecystectomy. We studied 13 cases of intraperitoneal bile collection without common bile duct...
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| Veröffentlicht in: | Surgical endoscopy 2000-11, Vol.14 (11), p.1037-1041 |
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| creator | BRAGHETTO, I BASTIAS, J CSENDES, A DEBANDI, A |
| description | Bile leakage is more common after laparoscopic cholecystectomy than after open surgery. In our department, the rate of postoperative bile collections after open surgery is 0.2% vs 0.6% after laparoscopic cholecystectomy.
We studied 13 cases of intraperitoneal bile collection without common bile duct damage drawn from a total of 5,200 laparoscopic cholecystectomies (0.23%). Clinical presentation, symptoms, method of diagnosis, causes, time of diagnosis, correlation of time of diagnosis with definitive treatment, and postoperative results were analyzed.
The symptoms appeared between the 5th and 8th postoperative days. They were observed in patients with either chronic or acute cholecystitis. The main causes were misapplication of clips at the cystic duct and open Luschka's duct. Ultrasound failed for early recognition of bile collections. The definitive diagnosis was made by repeat ultrasonography, CAT scan, and ERCP.
The ideal treatment in these cases is a minimally invasive procedure, but since the diagnosis is frequently delayed, open surgery is performed in the majority of patients. However, there were no mortalities in this group of patients. |
| doi_str_mv | 10.1007/s004649900029 |
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We studied 13 cases of intraperitoneal bile collection without common bile duct damage drawn from a total of 5,200 laparoscopic cholecystectomies (0.23%). Clinical presentation, symptoms, method of diagnosis, causes, time of diagnosis, correlation of time of diagnosis with definitive treatment, and postoperative results were analyzed.
The symptoms appeared between the 5th and 8th postoperative days. They were observed in patients with either chronic or acute cholecystitis. The main causes were misapplication of clips at the cystic duct and open Luschka's duct. Ultrasound failed for early recognition of bile collections. The definitive diagnosis was made by repeat ultrasonography, CAT scan, and ERCP.
The ideal treatment in these cases is a minimally invasive procedure, but since the diagnosis is frequently delayed, open surgery is performed in the majority of patients. However, there were no mortalities in this group of patients.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s004649900029</identifier><identifier>PMID: 11116414</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Bile ; Biological and medical sciences ; Cholecystectomy, Laparoscopic - adverse effects ; Cholecystitis - complications ; Cholecystitis - surgery ; Digestive system ; Drainage ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Medical sciences ; Peritoneal Cavity ; Postoperative Complications - diagnosis ; Postoperative Complications - etiology ; Postoperative Complications - surgery ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Reoperation ; Stents ; Time Factors</subject><ispartof>Surgical endoscopy, 2000-11, Vol.14 (11), p.1037-1041</ispartof><rights>2001 INIST-CNRS</rights><rights>Springer-Verlag New York Inc. 2000</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=847492$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11116414$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BRAGHETTO, I</creatorcontrib><creatorcontrib>BASTIAS, J</creatorcontrib><creatorcontrib>CSENDES, A</creatorcontrib><creatorcontrib>DEBANDI, A</creatorcontrib><title>Intraperitoneal bile collections after laparoscopic cholecystectomy : Causes, clinical presentation, diagnosis, and treatment</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><description>Bile leakage is more common after laparoscopic cholecystectomy than after open surgery. In our department, the rate of postoperative bile collections after open surgery is 0.2% vs 0.6% after laparoscopic cholecystectomy.
We studied 13 cases of intraperitoneal bile collection without common bile duct damage drawn from a total of 5,200 laparoscopic cholecystectomies (0.23%). Clinical presentation, symptoms, method of diagnosis, causes, time of diagnosis, correlation of time of diagnosis with definitive treatment, and postoperative results were analyzed.
The symptoms appeared between the 5th and 8th postoperative days. They were observed in patients with either chronic or acute cholecystitis. The main causes were misapplication of clips at the cystic duct and open Luschka's duct. Ultrasound failed for early recognition of bile collections. The definitive diagnosis was made by repeat ultrasonography, CAT scan, and ERCP.
The ideal treatment in these cases is a minimally invasive procedure, but since the diagnosis is frequently delayed, open surgery is performed in the majority of patients. However, there were no mortalities in this group of patients.</description><subject>Bile</subject><subject>Biological and medical sciences</subject><subject>Cholecystectomy, Laparoscopic - adverse effects</subject><subject>Cholecystitis - complications</subject><subject>Cholecystitis - surgery</subject><subject>Digestive system</subject><subject>Drainage</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Medical sciences</subject><subject>Peritoneal Cavity</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - surgery</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Reoperation</subject><subject>Stents</subject><subject>Time Factors</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpd0U1vFSEUBmDS2LTX6rJbQ2ziqmP5mgHcmZuqTZp0Y9eTcxmoNAxMgVnchf9dmt5oKhsW58kLOS9C55R8poTIq0KIGITWhBCmj9CGCs46xqh6gzZEc9IxqcUpelvKYyNC0_4EndJ2BkHFBv2-iTXDYrOvKVoIeOeDxSaFYE31KRYMrtqMAyyQUzFp8QabX6mN96U2k-Y9_oK3sBZbLrEJPnrTYpZsi40VnjMu8eThIabim4A44Zot1LmN36FjB6HY94f7DN1_u_65_dHd3n2_2X697QzXfe2UAWksn6QEMJpJruhkldOSc-X63TDQnRaKTb2iTCnattH3TkoyuUEbNzF-hj695C45Pa221HH2xdgQINq0llEyITnTpMGP_8HHtObY_jYyqoVmZKANdS_ItI2UbN24ZD9D3o-UjM-ljK9Kaf7DIXTdzXb6pw8tNHBxAFDa8lyGaHz565SQ7WX-B8_3lOU</recordid><startdate>20001101</startdate><enddate>20001101</enddate><creator>BRAGHETTO, I</creator><creator>BASTIAS, J</creator><creator>CSENDES, A</creator><creator>DEBANDI, A</creator><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20001101</creationdate><title>Intraperitoneal bile collections after laparoscopic cholecystectomy : Causes, clinical presentation, diagnosis, and treatment</title><author>BRAGHETTO, I ; BASTIAS, J ; CSENDES, A ; DEBANDI, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c395t-8ca7ce3d77aac927381de8f97338f5b661b9482d581288149955f770df69cfd23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Bile</topic><topic>Biological and medical sciences</topic><topic>Cholecystectomy, Laparoscopic - adverse effects</topic><topic>Cholecystitis - complications</topic><topic>Cholecystitis - surgery</topic><topic>Digestive system</topic><topic>Drainage</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Medical sciences</topic><topic>Peritoneal Cavity</topic><topic>Postoperative Complications - diagnosis</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - surgery</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Reoperation</topic><topic>Stents</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BRAGHETTO, I</creatorcontrib><creatorcontrib>BASTIAS, J</creatorcontrib><creatorcontrib>CSENDES, A</creatorcontrib><creatorcontrib>DEBANDI, A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BRAGHETTO, I</au><au>BASTIAS, J</au><au>CSENDES, A</au><au>DEBANDI, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraperitoneal bile collections after laparoscopic cholecystectomy : Causes, clinical presentation, diagnosis, and treatment</atitle><jtitle>Surgical endoscopy</jtitle><addtitle>Surg Endosc</addtitle><date>2000-11-01</date><risdate>2000</risdate><volume>14</volume><issue>11</issue><spage>1037</spage><epage>1041</epage><pages>1037-1041</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Bile leakage is more common after laparoscopic cholecystectomy than after open surgery. In our department, the rate of postoperative bile collections after open surgery is 0.2% vs 0.6% after laparoscopic cholecystectomy.
We studied 13 cases of intraperitoneal bile collection without common bile duct damage drawn from a total of 5,200 laparoscopic cholecystectomies (0.23%). Clinical presentation, symptoms, method of diagnosis, causes, time of diagnosis, correlation of time of diagnosis with definitive treatment, and postoperative results were analyzed.
The symptoms appeared between the 5th and 8th postoperative days. They were observed in patients with either chronic or acute cholecystitis. The main causes were misapplication of clips at the cystic duct and open Luschka's duct. Ultrasound failed for early recognition of bile collections. The definitive diagnosis was made by repeat ultrasonography, CAT scan, and ERCP.
The ideal treatment in these cases is a minimally invasive procedure, but since the diagnosis is frequently delayed, open surgery is performed in the majority of patients. However, there were no mortalities in this group of patients.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>11116414</pmid><doi>10.1007/s004649900029</doi><tpages>5</tpages></addata></record> |
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| subjects | Bile Biological and medical sciences Cholecystectomy, Laparoscopic - adverse effects Cholecystitis - complications Cholecystitis - surgery Digestive system Drainage Humans Investigative techniques, diagnostic techniques (general aspects) Medical sciences Peritoneal Cavity Postoperative Complications - diagnosis Postoperative Complications - etiology Postoperative Complications - surgery Radiodiagnosis. Nmr imagery. Nmr spectrometry Reoperation Stents Time Factors |
| title | Intraperitoneal bile collections after laparoscopic cholecystectomy : Causes, clinical presentation, diagnosis, and treatment |
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