Management of bile leakage after hepatic resection

Abstract

Objective To study the incidence and management of bile leakage after hepatic resection. Methods The incidence and management of bile leakage after hepatectomy in 441 patients were analysed retrospectively.Results Twenty-one patients suffered with bile leakage and the incidence was 4. 8% ,in which, 11 cases of primary liver cancer, 1 case of metastatic liver cancer, 2 cases of liver abscess, 2 cases of hepatic hemangioma and 5 cases of hepatolithiasis. Twelve cases were cured by full drainage,6 cases were cured by nasobiliary drains or endoscopic stent insertion, 2 cases accepts reoperation and 1 case died of severe postoperative sepsis. Conclusions Full percutaneous drainage of bile with or without endoscopic biliary decompression are primary and effective interventions in the management of most cases of bile leakage after hepatectomy. Early reoperation should be avoided. Key words: Hepatectomy; Bile leakage; Management