Biloma after laparoscopic cholecystectomy

نویسندگان

  • T. E. Pavlidis
  • K. S. Atmatzidis
  • B. T. Papaziogas
  • I. N. Galanis
  • I. M. Koutelidakis
  • T. B. Papaziogas
چکیده

Methods-Results: Over the past two-year period the same surgeon performed 180 laparoscopic cholecystectomies without any intra-operative event. All patients but three had an uneventful postoperative course (morbidity 1.6%). In 3 cases (women, 72-74-88 years-old) the US-scanning revealed a sub-hepatic biloma manifested by persistent right upper quadrant or epigastric pain, abdominal distention, fever and leukocytosis. In one case there was co-existent gastric outlet obstruction two weeks after the operation and mild obstructive jaundice in another one. All were managed successfully by drainage under ultrasound guidance and antibiotics, prolonging the hospitalization.

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تاریخ انتشار 2005