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Prevention of Bile Leak after Liver Surgery: A Fool-proof Method
BACKGROUND/AIM: Bile leak is not uncommon after liver surgeries. There is no adequate method described to prevent this morbid complication. MATERIALS AND METHODS: At the end of the liver procedure, transcystic normal saline was injected under pressure with distal clamping. Leaking saline on the cut...
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Formato: | Texto |
Lenguaje: | English |
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Medknow Publications
2009
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2702980/ https://www.ncbi.nlm.nih.gov/pubmed/19568579 http://dx.doi.org/10.4103/1319-3767.48972 |
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author | Pujahari, Aswini K. |
author_facet | Pujahari, Aswini K. |
author_sort | Pujahari, Aswini K. |
collection | PubMed |
description | BACKGROUND/AIM: Bile leak is not uncommon after liver surgeries. There is no adequate method described to prevent this morbid complication. MATERIALS AND METHODS: At the end of the liver procedure, transcystic normal saline was injected under pressure with distal clamping. Leaking saline on the cut surface of the liver was sutured. The process was repeated till no leaking was observed. A suction drain was kept for any bile leak. RESULTS: Open liver resection and hydatid cyst surgery cases were included. There were 24 cases, with 13 males and 11 females. The age range was from 4 to 80 years, with a mean of 48 years (SD ± 17.7). The number of leak sites that could be sutured were 0-4 (mean of 2.3 ± 0.5). None had bile leak postoperatively. CONCLUSION: Transcystic injection under pressure with distal clamping demonstrates the leak sites. Suturing them prevents the postoperative bile leak. |
format | Text |
id | pubmed-2702980 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-27029802009-06-30 Prevention of Bile Leak after Liver Surgery: A Fool-proof Method Pujahari, Aswini K. Saudi J Gastroenterol Brief Communication BACKGROUND/AIM: Bile leak is not uncommon after liver surgeries. There is no adequate method described to prevent this morbid complication. MATERIALS AND METHODS: At the end of the liver procedure, transcystic normal saline was injected under pressure with distal clamping. Leaking saline on the cut surface of the liver was sutured. The process was repeated till no leaking was observed. A suction drain was kept for any bile leak. RESULTS: Open liver resection and hydatid cyst surgery cases were included. There were 24 cases, with 13 males and 11 females. The age range was from 4 to 80 years, with a mean of 48 years (SD ± 17.7). The number of leak sites that could be sutured were 0-4 (mean of 2.3 ± 0.5). None had bile leak postoperatively. CONCLUSION: Transcystic injection under pressure with distal clamping demonstrates the leak sites. Suturing them prevents the postoperative bile leak. Medknow Publications 2009-04 /pmc/articles/PMC2702980/ /pubmed/19568579 http://dx.doi.org/10.4103/1319-3767.48972 Text en © Saudi Journal of Gastroenterology http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Brief Communication Pujahari, Aswini K. Prevention of Bile Leak after Liver Surgery: A Fool-proof Method |
title | Prevention of Bile Leak after Liver Surgery: A Fool-proof Method |
title_full | Prevention of Bile Leak after Liver Surgery: A Fool-proof Method |
title_fullStr | Prevention of Bile Leak after Liver Surgery: A Fool-proof Method |
title_full_unstemmed | Prevention of Bile Leak after Liver Surgery: A Fool-proof Method |
title_short | Prevention of Bile Leak after Liver Surgery: A Fool-proof Method |
title_sort | prevention of bile leak after liver surgery: a fool-proof method |
topic | Brief Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2702980/ https://www.ncbi.nlm.nih.gov/pubmed/19568579 http://dx.doi.org/10.4103/1319-3767.48972 |
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