Identification and management of subvesical bile duct leakage after laparoscopic cholecystectomy: A systematic review.

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  • Additional Information
    • Source:
      Publisher: Elsevier Country of Publication: Netherlands NLM ID: 8900600 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0219-3108 (Electronic) Linking ISSN: 10159584 NLM ISO Abbreviation: Asian J Surg Subsets: MEDLINE
    • Publication Information:
      Publication: [Amsterdam] : Elsevier
      Original Publication: [Hong Kong] : The Association, [1988-
    • Subject Terms:
      Cholecystectomy, Laparoscopic*/adverse effects ; Bile Duct Diseases*/surgery ; Biliary Tract Diseases*/complications; Humans ; Postoperative Complications/diagnosis ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Cholangiopancreatography, Endoscopic Retrograde/methods ; Bile Ducts/surgery ; Bile Ducts/injuries
    • Abstract:
      Bile leak is a rare complication after Laparoscopic Cholecystectomy. Subvesical bile duct (SVBD) injury is the second cause of minor bile leak, following the unsuccessful clipping of the cystic duct stump. The aim of this study is to pool available data on this type of biliary tree anatomical variation to summarize incidence of injury, methods used to diagnose and treat SVBD leaks after LC. Articles published between 1985 and 2021 describing SVBD evidence in patients operated on LC for gallstone disease, were included. Data were divided into two groups based on the intra or post-operative evidence of bile leak from SVBD after surgery. This systematic report includes 68 articles for a total of 231 patients. A total of 195 patients with symptomatic postoperative bile leak are included in Group 1, while Group 2 includes 36 patients describing SVBD visualized and managed during LC. Outcomes of interest were diagnosis, clinical presentation, treatment, and outcomes. The management of minor bile leak is controversial. In most of cases diagnosed postoperatevely, Endoscopic Retrograde Cholangio-Pancreatography (ERCP) is the best way to treat this complication. Surgery should be considered when endoscopic or radiological approaches are not resolutive.
      Competing Interests: Declaration of competing interest The authors declare that they have no competing interests.
      (Copyright © 2023 Asian Surgical Association and Taiwan Robotic Surgery Association. Published by Elsevier B.V. All rights reserved.)
    • Contributed Indexing:
      Keywords: Bile leak; Cholecystohepatic duct; Duct of Luschka; Laparoscopic cholecystectomy; Subvesical bile duct
    • Publication Date:
      Date Created: 20230501 Date Completed: 20231004 Latest Revision: 20231007
    • Publication Date:
      20231007
    • Accession Number:
      10.1016/j.asjsur.2023.04.031
    • Accession Number:
      37127504