Prevention of Postoperative Bile Leak in Partial Cystectomy for Hydatid Liver Disease: Tricks of the Trade

被引：5

作者：

Peker, Kivanc Derya ^{[1
]}

Gumusoglu, Alpen Yahya ^{[1
]}

Seyit, Hakan ^{[1
]}

Kabuli, Hamit Ahmet ^{[1
]}

Salik, Aysun Erbahceci ^{[2
]}

Gonenc, Murat ^{[1
]}

Kapan, Selin ^{[1
]}

Alis, Halil ^{[1
]}

机构：

[1] Dr Sadi Konuk Training & Res Hosp, Gen Surg, Tevfik Saglam Cad 11, TR-34147 Istanbul, Turkey

[2] Dr Sadi Konuk Training & Res Hosp, Intervent Radiol, Istanbul, Turkey

来源：

JOURNAL OF GASTROINTESTINAL SURGERY | 2015年 / 19卷 / 12期

关键词：

Hydatid cyst; Hydatid disease; Partial cystectomy; Bile leak; DEEP ABDOMINAL COMPLICATIONS; SURGICAL-TREATMENT; CYST; EXPERIENCE; SURGERY; OMENTOPLASTY;

D O I：

10.1007/s11605-015-2970-5

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The presence of postoperative bile leak is the major outcome measure for the assessment of operative success in partial cystectomy for hydatid liver disease. However, the optimal operative strategy to reduce the postoperative bile leak rate is yet to be defined. Medical records of patients who underwent partial cystectomy for hydatid liver disease between January 2013 and January 2015 were reviewed in this retrospective analysis. All patients were managed with a specific operative protocol. The primary outcome measure was the rate of persistent postoperative bile leak. The secondary outcome measures were the morbidity and mortality rate, and the length of hospital stay. Twenty-eight patients were included in the study. Only one patient (3.6 %) developed persistent postoperative bile leak. The overall morbidity and mortality rate was 17.8 and 0 %, respectively. The median length of hospital stay was 5 days. Aggressive preventative surgical measures have led to low persistent bile leak rates with low morbidity and mortality.

引用

页码：2228 / 2234

页数：7