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ID: 826 (Conflict of Interest: K)

Gallenleckage nach Leberresektion: Analyse von 147 konsekutiven Fällen

R.Sucher, S.Recknagel, A. A.Lederer, S.Rademacher, D.Seehofer
Universitätsklinikum Leipzig, Leipzig

Einleitung

Bile leakage is a serious complication after liver resection and represents one of the major causes of postoperative morbidity.

Material und Methoden

Perioperative data regarding 147 Patients undergoing elective liver resection without biliary reconstruction performed between April 2016 and September 2017 were analyzed.

Ergebnisse

Bilary leakage was observed in 4 patients (2,72%). The extent of parenchymal resection was not associated with the total occurence of biliary leak (p=n.s.). Higher incidence of biliary leakage from the resection surface was significantly associated with prolonged operation times (p<0.01). All biliary leaks occurred in patients receiving a conventional "open" liver resection. No leak was detected in patients with minimaly invasive resections (n=42; 29.25%). T-tube insertion did not significantly prevent from biliary lekage in our cohort (p=n.s). Once biliary leak occurred median hospitalization duration significantly increased (no leak:15 vs leak: 36 days; p<0.05). 

Schlussfolgerung

Our data demonstrate a low incidence of bile leak after elective liver surgery with excellent results for minimally invasive procedures.