Bile Leakage and Liver Resection

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Bile Leakage and Liver Resection

Results: Postoperative bile leakage occurred in 22 (3.6%) of 610 patients. Univariate analysis showed that cirrhosis (P=.05) or intraoperative use of fibrin glue (P=.01) was associated with a lower incidence of bile leakage. Moreover, the following factors were significant predictors of bile leakage: peripheral cholangiocarcinoma (P .001), major hepatectomy (P=.03), left hepatectomy extended to...

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Bile leakage and liver resection: Where is the risk?

HYPOTHESIS The knowledge of risk factors for bile leakage after liver resection could reduce its incidence. DESIGN Retrospective study. SETTING Tertiary care referral center. PATIENTS The study included 610 patients who underwent liver resection from January 1, 1989, through January 31, 2003. INTERVENTIONS Liver resections without biliary anastomoses. MAIN OUTCOME MEASURES Bile leakag...

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Bile Leakage after Liver Transplantation

Objective To evaluate the risk factors and outcome of bile leak after liver transplantation. Methods We undertook a retrospective study of patients who underwent liver transplantation in our institution between January 2010 and January 2014. The characteristics and survival rate of patients with or without bile leak were compared. Results Bile leak was observed in sixteen patients after liv...

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Endoscopic Management of Bile Leakage after Liver Transplantation

BACKGROUND/AIMS Endoscopic retrograde cholangiopancreatography (ERCP) can be an effective treatment for bile leakage after liver transplantation. We evaluated the efficacy of endoscopic treatment in liver transplantation in patients who developed bile leaks. METHODS Forty-two patients who developed bile leaks after liver transplantation were included in the study. If a bile leak was observed ...

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The White test: a new dye test for intraoperative detection of bile leakage during major liver resection.

OBJECTIVE To describe a new intraoperative bile leakage test in patients undergoing a major liver resection aimed to combine the advantages of each of the other standard bile leakage tests (accurate visualization of leaks, reproducibility, and ease of use) without their disadvantages. METHODS At the end of the major hepatic resection, 10 to 30 mL of sterile fat emulsion, 5%, is injected via a...

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ژورنال

عنوان ژورنال: Archives of Surgery

سال: 2006

ISSN: 0004-0010

DOI: 10.1001/archsurg.141.7.690