Abstract:
BACKGROUND:Biliary leakage after liver resection continues to be reported. Management of bile leakage has changed in recent years, with nowadays non-surgical procedures as the preferred treatment. METHODS:Biliary leakage and management were assessed in 381 patients who underwent liver resection between January 2005 and April 2011. RESULTS:The overall rate of biliary leakage after liver resection was 5.0%, with a higher incidence in patients who had undergone concomitant hepaticojejunostomy (HJ; 13.6 vs. 3.2%). Hospital stay (p = 0.047), major resections (p = 0.018), operation time (p = 0.011), and relaparotomy (p = 0.002) were risk factors for postoperative bile leakage. Multivariate analysis identified relaparotomy as an independent factor (OR 4.216, p = 0.034). Bile leakage in patients without HJ (n = 10) was managed in 6 patients by percutaneous transhepatic biliary drainage (PTD), and in 3 patients by endoscopic drainage. One patient was treated surgically. All patients with an HJ and postoperative bile leakage (n = 9) underwent PTD. CONCLUSION:The incidence of posthepatectomy biliary leakage has decreased over time, while PTD and endoscopic stenting are effective treatment modalities. PTD is the treatment of choice in bile leakage after resection combined with HJ.
journal_name
Dig Surgjournal_title
Digestive surgeryauthors
Hoekstra LT,van Gulik TM,Gouma DJ,Busch ORdoi
10.1159/000335734subject
Has Abstractpub_date
2012-01-01 00:00:00pages
48-53issue
1eissn
0253-4886issn
1421-9883pii
000335734journal_volume
29pub_type
杂志文章abstract:BACKGROUNDS:Endoscopic submucosal dissection (ESD) has been widely performed in the treatment of early esophageal squamous cell carcinoma (ESCC). Few studies have compared the long-term outcomes of esophageal ESD based on absolute indications and relative indications. The aim of the current study was to investigate the...
journal_title:Digestive surgery
pub_type: 杂志文章
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更新日期:2021-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
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journal_title:Digestive surgery
pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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journal_title:Digestive surgery
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journal_title:Digestive surgery
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journal_title:Digestive surgery
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journal_title:Digestive surgery
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journal_title:Digestive surgery
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journal_title:Digestive surgery
pub_type: 杂志文章
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journal_title:Digestive surgery
pub_type: 杂志文章
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journal_title:Digestive surgery
pub_type: 杂志文章,评审
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更新日期:2008-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
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更新日期:2002-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
doi:10.1159/000468155
更新日期:2018-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章,评审
doi:10.1159/000445012
更新日期:2016-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
doi:10.1159/000018696
更新日期:1999-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
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更新日期:2009-01-01 00:00:00
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journal_title:Digestive surgery
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journal_title:Digestive surgery
pub_type: 杂志文章
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更新日期:2011-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
doi:10.1159/000064211
更新日期:2002-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
doi:10.1159/000095395
更新日期:2006-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
doi:10.1159/000050097
更新日期:2001-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
doi:10.1159/000121907
更新日期:2008-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
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更新日期:2014-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
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更新日期:2006-01-01 00:00:00