TITLE:
A Case Report and Literature Review: A Case of Delayed Bile Leakage Following Laparoscopic Cholecystectomy
AUTHORS:
Shijia Li, Shicheng Gong, Nuo Cheng, Shuai Wang
KEYWORDS:
Delayed Bile Leakage, Treatment, Laparoscopic Cholecystectomy
JOURNAL NAME:
Journal of Biosciences and Medicines,
Vol.12 No.8,
August
19,
2024
ABSTRACT: Background: Delayed bile leakage after laparoscopic cholecystectomy, defined as occurring more than 72 hours after surgery, is a rare and serious complication of laparoscopic cholecystectomy, with an incidence rate of 0.060%. Case Declaration: This case report details a patient diagnosed with delayed bile leakage 43 days after laparoscopic cholecystectomy. The patient was discharged from our hospital after undergoing CT-guided puncture treatment, with no obvious complications identified. The patient was monitored for one year following the procedure, during which time no significant discomfort was reported. Objective: This case report is to analyse and review the clinical manifestations, diagnosis, treatment and prevention of delayed bile leakage after cholecystectomy, with reference to the relevant literature. Results: Delayed bile leakage after laparoscopic cholecystectomy can be prevented, although not eliminated. It is recommended that the operator treat the operation with caution, avoid taking risks, and adhere to careful procedures and strict separation according to the requirements. This approach is key to preventing late bile leakage in the postoperative period.