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01-02-2021 | Original Article

Risk factors and outcomes of bile leak after laparoscopic surgery for congenital biliary dilatation

Authors: Yujiro Tanaka, Takahisa Tainaka, Akinari Hinoki, Chiyoe Shirota, Wataru Sumida, Kazuki Yokota, Kazuo Oshima, Satoshi Makita, Hizuru Amano, Aitaro Takimoto, Yoko Kano, Hiroo Uchida

Published in: Pediatric Surgery International | Issue 2/2021

Abstract

Purpose

One of the main causes of stricture at hepaticojejunostomy site after surgery for congenital biliary dilatation is inflammation or infection associated with bile leak. The aim of this study was to determine the risk factors and outcomes of bile leak after laparoscopic surgery.

Methods

We retrospectively reviewed the demographics and outcomes of patients who underwent laparoscopic surgery for congenital biliary dilatation between September 2013 and December 2019. Data from patients with bile leak were compared to data from patients without bile leak.

Results

Fourteen of 78 patients had bile leak. Hepatic duct diameter at anastomosis was the only risk factor of bile leak. Patients with the diameter ≤ 10 mm had higher incidence of bile leak than in patients with the diameter > 10 mm (P = 0.0023). Among them, bile leak occurred more frequently in patients operated on by non-qualified surgeons based on the Japan Society for Endoscopic Surgery endoscopic surgical skill qualification system than by qualified surgeons (P = 0.027). However, none of the patients with bile leak developed anastomotic stricture afterwards.

Conclusion

Although good technical skill is necessary to avoid bile leak in narrow hepatic duct cases (≤ 10 mm), slight bile leak may not result in anastomotic stricture.

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Title: Risk factors and outcomes of bile leak after laparoscopic surgery for congenital biliary dilatation
Authors: Yujiro Tanaka
Takahisa Tainaka
Akinari Hinoki
Chiyoe Shirota
Wataru Sumida
Kazuki Yokota
Kazuo Oshima
Satoshi Makita
Hizuru Amano
Aitaro Takimoto
Yoko Kano
Hiroo Uchida
Publication date: 01-02-2021
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Surgery International / Issue 2/2021
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-020-04791-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Risk factors and outcomes of bile leak after laparoscopic surgery for congenital biliary dilatation

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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