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Volume 8
Journal of Gastrointestinal & Digestive System
ISSN: 2161-069X
Page 43
JOINT EVENT
Pediatric Gastro 2018
Digestive Diseases 2018
October 22-23, 2018
October 22-23, 2018 Berlin, Germany
3
rd
International Conference on
Digestive and Metabolic Diseases
Pediatric Gastroenterology Hepatology & Nutrition
13
th
International Conference on
&
Post cholecystectomy biliary leakage; overview causes and management
Khaled Mahran
Minia University, Minia, Egypt
B
ile leakage is an infrequent but serious complication after cholecystectomy either laparoscopic or open. It carries high
morbidity and mortality rates, posing impaired quality of life along with substantial financial burdens to patients and
the society in general. We shall revise the causes underlying this challenging problem, how to avoid injuries and common
methods in treatment. Common causes of post cholecystectomy bile leakage are; Insecure closure of the CD, Disrupted
closure of the CD , Iatrogenic bile Duct Injury. 6 main strategies have been standardized to avoid biliary injury during
cholecystectomy, 1. Infundibular technique, 2. Dome-down technique, 3. Critical view of safety approach, 4. Routine intra-
operative cholangiography (I.O.C.), 5. Recognize when the dissection is approaching a zone of significant risk. 6. Get help from
another surgeon when the dissection or conditions are difficult. We aim to share our results of treating 50 consecutive cases
with post-cholecystectomy biliary leakage in a tertiary care hospital in the last 4 years.
Khaled.mahran@mu.edu.egJ Gastrointest Dig Syst 2018, Volume 8
DOI: 10.4172/2161-069X-C7-083