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복강경 담낭절제술 후 발생한 담즙유출의 진단과 치료
Diagnosis and Management of Bile Leaks Following Laparoscopic Cholecystectomy
최윤백(Youn Baik Choi),육정환(Jeong Hwan Yook),이승규(Sung Gyu Lee)
UCI I410-ECN-0102-2009-510-004929665

Laparoscopic cholecystectomy has rapidly heen adopted by surgeons since 1987 and become the "gold standard therapy for management of symptomatic gallstone disease, but concerns remain about its safety due to bile duct injury as compared with open cholecystectomy. As the complication of bile leaks due to bile duct injury can be devasting, its timely diagnosis and appropriate management are crucial. Especially in those patients whose clinically significant bile leaks do not resolve spontaneously, surgery is frequently employed for proper management. However, recent technical advances in interventional area(endoscopy and radioiogy) have fostered the successful management of bile leaks. Among 1548 cases of laparoscopic cholecystecto- mies, 3 cases of bile leaks are noticed. Endoscopic retrograde cholangiopancreaticography(ERCP) with endoscopic sphincterotomy(EST) proved to be a uset'ul diagnostic and therapeutic modality in the treatment of these patients. This report advocates the use of ERCP with EST and endobiliary stenting in the management of biliary injury resulting from laparoscopic cholecystectomy.(Korean J Gastroenterol 1995;375 - 380)

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