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  • Title: Management of bile leakage caused by clip displacement from cystic duct stumps.
    Author: Ojima H, Yamauchi H, Yamaki E, Idetu A, Hosouchi Y, Nishida Y, Kuwano H.
    Journal: Hepatogastroenterology; 2007; 54(73):28-31. PubMed ID: 17419225.
    Abstract:
    BACKGROUND/AIMS: Cystic duct leakage (CDL) is one of the most common complications after laparoscopic cholecystectomy (LC). We retrospectively examined 3 patients with CDL that were treated with endoscopic stenting. METHODOLOGY: From January 1995 to December 2004, 1127 LCs were performed. CDL occurred in 3 cases and a closed suction drain was inserted in 2 of those 3 cases. RESULTS: The duration from LC to endoscopic retrograde cholangiopancreatography (ERCP) was 2 to 4 days, and the patient without the drain experienced the longest waiting time. Hospital stay was almost identical for all 3 cases. There was an immediate improvement after the procedure. CONCLUSIONS: It is important to employ accurate technical surgical procedures to prevent complications. ERCP with stent placement and sphincterotomy is an easy and safe diagnostic and therapeutic procedure for CDL, and has a high success rate in resolving leaks.
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