Post-cholecystectomy bile leak is not always synonymous with acute bile duct injury:Need for reclassification  

作　　者：Vishal Gupta 

机构地区：[1]Department of Surgical Gastroenterology,King George’s Medical University,Lucknow,UP 226003,India

出　　处：《Hepatobiliary & Pancreatic Diseases International》2020年第5期492-494,共3页国际肝胆胰疾病杂志（英文版）

摘　　要：Bile leak after laparoscopic cholecystectomy remains a significant cause of postoperative morbidity.Cystic duct stump is the most common site(~70%)of bile leak after cholecystectomy[1].Incidence of bile leak from the cystic duct stump is 0.5%−3%which is higher(4%−7%)in cases with complicated gallstone disease(e.g.acute cholecystitis)[2].Bile leak in postoperative period after cholecystectomy,manifesting as bile in intraoperatively placed drain or as an intrabdominal collection,localized or generalized,is considered a complication secondary to bile duct injury(BDI)that was sustained during the procedure.Irrespective to the site of leak,such bile leak is classified as an iatrogenic BDI,and is subsequently categorised depending on the site of leak if that is localized on subsequent investigations.

关 键 词：BILE CHOLECYSTECTOMY ACUTE 

分 类 号：R657.4[医药卫生—外科学]