caa a22 4500 475781783 CHVBK 20180406123646.0 cr unu---uuuuu 170329e20001101xx s 000 0 eng 10.1007/s004649900029 doi (NATIONALLICENCE)springer-10.1007/s004649900029 Intraperitoneal bile collections after laparoscopic cholecystectomy [Elektronische Daten] Causes, clinical presentation, diagnosis, and treatment [I. Braghetto, J. Bastias, A. Csendes, A. Debandi] Background: Bile leakage is more common after laparoscopic cholecystectomy than after open surgery. In our department, the rate of postoperative bile collections after open surgery is 0.2% vs 0.6% after laparoscopic cholecystectomy. Methods: We studied 13 cases of intraperitoneal bile collection without common bile duct damage drawn from a total of 5,200 laparoscopic cholecystectomies (0.23%). Clinical presentation, symptoms, method of diagnosis, causes, time of diagnosis, correlation of time of diagnosis with definitive treatment, and postoperative results were analyzed. Results: The symptoms appeared between the 5th and 8th postoperative days. They were observed in patients with either chronic or acute cholecystitis. The main causes were misapplication of clips at the cystic duct and open Luschka's duct. Ultrasound failed for early recognition of bile collections. The definitive diagnosis was made by repeat ultrasonography, CAT scan, and ERCP. Conclusion: The ideal treatment in these cases is a minimally invasive procedure, but since the diagnosis is frequently delayed, open surgery is performed in the majority of patients. However, there were no mortalities in this group of patients. Springer-Verlag New York Inc., 2000 Key words: Bile leaks — Cholecystitis — Gallbladder — Laparoscopic cholecystectomy nationallicence Braghetto I. Department of Surgery, Clinical Hospital, University of Chile, Santiago, Chile, CL aut Bastias J. Department of Surgery, Clinical Hospital, University of Chile, Santiago, Chile, CL aut Csendes A. Department of Surgery, Clinical Hospital, University of Chile, Santiago, Chile, CL aut Debandi A. Department of Surgery, Clinical Hospital, University of Chile, Santiago, Chile, CL aut https://doi.org/10.1007/s004649900029 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004649900029 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Braghetto I. Department of Surgery, Clinical Hospital, University of Chile, Santiago, Chile, CL aut NATIONALLICENCE 700 1- Bastias J. Department of Surgery, Clinical Hospital, University of Chile, Santiago, Chile, CL aut NATIONALLICENCE 700 1- Csendes A. Department of Surgery, Clinical Hospital, University of Chile, Santiago, Chile, CL aut NATIONALLICENCE 700 1- Debandi A. Department of Surgery, Clinical Hospital, University of Chile, Santiago, Chile, CL aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer