PMID: 8939840Dec 1, 1996Paper

Cystic duct leak after laparoscopic cholecystectomy. A multi-institutional study

Surgical Endoscopy
S Wise UngerM Landeros

Abstract

Cystic duct leak is a rare complication of laparoscopic surgery. To study the incidence, presentation, and management of cystic duct leak (CDL) after laparoscopic cholecystectomy (LC) a retrospective study of centers doing large numbers of LC was done. Patient information was obtained by a questionnaire sent to experienced laparoscopic surgeons. This queried demographic information, course of the original operation, presentation, diagnostic studies, and management of CDL after LC. Some 22, 165 LCs were performed by 24 surgeons; there were 58 cases of CDL (0. 26%); 21% of the surgeons reported no CDLs; 60% of CDLs occurred in the first 25% of each surgeon's experience, but CDLs continue to occur even in their most recent 10% of cases. Preoperative symptoms, prior surgery, and comorbid conditions did not predict CDL. Acute cholecystitis was present at initial surgery in 47%. Symptoms of CDL an average of 3.1 days post-LC were abdominal pain 78%, fever 26%, nausea 35%, vomiting 22%, abdominal distention 26%, and shoulder pain 12%. WBCs and LFTs were elevated in more than two-thirds of the cases. ERCP was most frequently used to diagnose CDL (53%) and was successful in 97%, although sonogram (40%) and HIDA scan (26%) and CT (26%) w...Continue Reading

Citations

Jun 2, 2006·Surgical Endoscopy·A Rohatgi, A L Widdison
Nov 3, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Tharwat KandilEmad El Hefnawy
Aug 30, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Samer S BessaAhmed T Awad
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Apr 23, 2008·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Vishwanath Golash
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Jan 6, 2016·The Indian Journal of Surgery·Piero LucarelliErasmo Spaziani
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Aug 23, 2020·Surgery·Vishal Gupta, Gaurav Jain

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