Gawlik Cassidy, Carneval Mary
General Surgery, Ohio University Heritage College of Osteopathic Medicine, Cleveland, USA.
General Surgery, Cleveland Clinic Foundation Euclid Hospital, Cleveland, USA.
Cureus. 2021 May 10;13(5):e14937. doi: 10.7759/cureus.14937.
Bile leaks can be a complication of abdominal surgeries, specifically trauma to the biliary system during laparoscopic cholecystectomy, and can occur from a variety of sources, commonly a bile duct injury (BDI). Their management involves a multidisciplinary approach and depends on a multitude of factors. This consequence has also led to increased health care costs and morbidity and mortality for patients. Currently, there are no professional society-initiated guidelines that provide surgeons with a clear algorithm for managing bile leaks, as there are for other operative approaches and management in various surgical diseases. Thus, a literature search was performed that surveyed current research on the effective prevention and management of the different types of bile leaks. This review aims to provide all clinicians with an overview of factors to consider in the management of bile leaks and supports referral to a tertiary center with a hepatobiliary specialist.
胆漏可能是腹部手术的一种并发症,特别是在腹腔镜胆囊切除术期间胆道系统受到创伤时,其可能源于多种原因,常见的是胆管损伤(BDI)。对其处理需要多学科方法,且取决于众多因素。这种后果还导致了患者医疗费用增加以及发病率和死亡率上升。目前,尚无专业学会发起的指南为外科医生提供处理胆漏的清晰算法,而对于各种外科疾病的其他手术方法和处理则有相应指南。因此,进行了一项文献检索,调查了当前关于不同类型胆漏有效预防和处理的研究。本综述旨在为所有临床医生提供在处理胆漏时需考虑因素的概述,并支持转诊至有肝胆专科医生的三级中心。