The causes and prevention of bile leakage caused by laparoscopic cholecystectomy

Objective:To investigate the causes and treatment of bile leakage caused by laparoscopic cholecystectomy(LC).Methods:The clinical data of 8 cases with bile leakage caused by LC were retrospectively analyzed.Results:Six cases with bile leakage caused by aberrant bile duct or cholangiole injuries were cured with abdominal cavity drainage and drugs.Two cases with late-occurred bile leakage including 1 case opening in common hepatic duct and 1 case opening in right hepatic duct were cured by opening repair and T-tube drainage.No cholangitis and bile duct stenosis were found during following-up for 6 months to 2 years.Conclusions:Extrahepatic bile duct and aberrant bile duct injuries were the most common reasons of bile leakage after LC.Abdominal cavity drainage,bile duct repair and T-tube drainage are the main methods to treat bile leakage after LC and prevent complications.