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Risk Factors of Li et al for Bile Leakage After Hepatectomy for Hepatolithiasis

Description

Li et al identified factors affecting bile leakage after hepatectomy for hepatolithiasis. These can help to identify a patient who may benefit from a change in or more aggressive management. The authors are from Sun Yet-san University in Guangzhou, China.


Patient selection: hepatectomy for hepatolithiasis

 

Outcome: bile leak

 

Risk factors for bile leakage on multivariate analysis:

(1) recent episode of acute cholangitis (less than 1 month)

(2) left hepatectomy

 

Factors associated with reduced risk of bile leakage:

(1) preoperative cholangiography to identify an aberrant hepatic duct

 

Patients with bile leakage were at increased risk for:

(1) sepsis

(2) subphrenic abscess

(3) surgical site infection

(4) gastrointestinal bleeding


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