Nagano et al classified bile leakage following hepatic resection. The type of leakage may influence patient management. The authors are from Yokohama City University in Japan.
Patient selection: bile leakage following hepatic resection
Findings |
Type |
no bile duct involvement on imaging studies |
A |
leakage from stump of a main bile duct |
B |
leakage from the side of a main bile duct |
C |
leakage from peripheral bile ducts supplying an isolated hepatic segment, without communication to the main biliary tree |
D |
Type A is considered minor while the others are major.
Type |
Management |
A |
tend to heal with fastest resolution |
B |
may benefit from nasobiliary tube drainage |
C |
may benefit from nasobiliary tube drainage |
D |
usually require reoperation |
Specialty: Gastroenterology, Surgery, general
ICD-10: ,