Management Of Localised Postoperative Bile Collections

Authors: Hrbatý Boris, Shilova Nataliya1, Mižičková Magdaléna, Reis Richard1, Vrtík Luděk, Čambal Marek, Labaš Peter, Kostka Vladimír, Javorka Vladimír

The authors deal with their experience with conservative management of a rare compliction after laparoscopic cholecystectomy – formation of biloma. Biloma is to be expected, when a patient after uneventfull cholecystectomy starts to have mild temperatures, persisting upper abdominal pain and elevation of leukocytes number and level of CRP. It depends on the dynamics of the clinical picture and the size of bile collection, what kind of management would be the most appropriate in each specific case. Not always, the reoperation is necessary. It depends on the summary of all above mentioned results (CRP, Leukocytes count, temperature, evidence of peritoneal irritation or peritonitis, size of collection on US – CT imaging studies, interdisplinary cooperation and discussion with radiologists and endoscopists). Of course when necessary, the invasive therapy is indicated with following possibilities: US or CT guided suction drainage, endoscopic stent or surgical approach – i. e. reoperation.

Comments: 7 Pages.

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[v1] 2017-08-23 06:23:04

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