Biliary leakage after laparoscopic cholecystectomy (LC) treated with endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic naso-biliary drainage (ENBD):An analysis of 10 cases
Abstract：Objective To explore the safety and effectiveness of endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic naso-biliary drainage (ENBD) in the treatment of biliary leakage after laparoscopic cholecystectomy(LC). Methods The clinical data of 10 cases of biliary leakage after LC received ERCP and ENBD between May 2010 and June 2014 in the 309th Hospital of PLA were analyzed retrospectively. Results All the cases were operated with ERCP successfully and confirmed with biliary leakage. There were 4 cases of common hepatic duct leaks, 2 cases of right hepatic duct leaks and 4 cases of cystic duct stump leaks. Residual stones occurred in 3 cases, which were operated with endoscopic sphincterotomy(EST) and calculus removed. ALL the cases were placed with naso-biliary drainage tube. The operative time ranged from thirty minutes to sixty minutes with a mean of forty minutes. No intraoperative and postoperative complication occurred. The blood amylase and urinary amylase were normal at the first day postoperatively. The patients could eat liquid diet at the second day postoperatively. All the cases were cured completely. The healing time for biliary leakage ranged from seven days to ten days with a mean of nine days. Conclusion ERCP and ENBD are safe and effective diagnosis and nonoperative methods to treat biliary leakage after LC. It can be used as the preferred treatment for bile leakage.
Keywords：endoscopic retrograde cholangiopancreatography(ERCP)endoscopic naso-biliary drainage(ENBD)laparoscopic cholecystectomy(LC)biliary leakage
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 763-765 )