Rare bile leak from left triangular ligament

2021 ◽  
Vol 14 (4) ◽  
pp. e238819
Author(s):  
Monali Shah ◽  
Mihir M. Shah ◽  
David A. Kooby
Keyword(s):  
Total Gastrectomy ◽  
Bile Ducts ◽  
Bile Leak ◽  
Postoperative Outcomes ◽  
Biliary System ◽  
Preoperative Imaging ◽  
Lateral Segment ◽  
Left Lateral Segment ◽  
Abdominal Operations ◽  
Uncommon Complication

Variations of the biliary system present challenges to abdominal operations and can affect postoperative outcomes. Bile leak is an uncommon complication of total gastrectomy. However, any procedure that involves mobilisation of the left lobes of the liver should be executed with additional caution. A thorough assessment including preoperative imaging for aberrant anatomy should be performed, especially aberrant bile ducts in the left triangular ligament. Ligation or suturing of the left triangular ligament should be considered when the aberrant anatomy suggests, to decrease the risk of postoperative bile leak. In addition, the left lateral segment of the liver should be thoroughly inspected on initial completion of the operation.

scholarly journals Endoscopic ultrasound-guided transgastric drainage of radiologically inaccessible left lobe liver abscess involving segment 4, caudate lobe, and left lateral segments using a modified technique

2021 ◽  
Vol 09 (01) ◽  
pp. E35-E40
Author(s):  
Sharad Chandra ◽  
Urvashi Chandra
Keyword(s):  
Liver Abscess ◽  
Open Surgery ◽  
Caudate Lobe ◽  
Left Lobe ◽  
Ultrasound Guided ◽  
Modified Technique ◽  
Abscess Drainage ◽  
Lateral Segment ◽  
Alternative Approach ◽  
Left Lateral Segment

AbstractLiver abscess requiring drainage is conventionally managed by interventional radiology-guided percutaneous drainage (PCD). Radiologically inaccessible abscesses are managed with laparoscopic or open surgery, which carries high rates of morbidity and mortality.EUS-guided transluminal liver abscess drainage is minimally invasive and can be an alternative approach for caudate lobe, segment 4, and left lateral segment abscesses. We report on three consecutive patients with radiologically inaccessible left lobe liver abscess involving the caudate lobe, segment 4, and lateral segment in whom EUS-guided transluminal drainage using a modified technique was successful.

scholarly journals Pediatric liver transplantation with hyperreduced left lateral segment graft

2020 ◽  
Vol 24 (4) ◽  
pp. 503-512
Author(s):  
Jung-Man Namgoong ◽  
Shin Hwang ◽  
Gi-Won Song ◽  
Dae-Yeon Kim ◽  
Tae-Yong Ha ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Pediatric Liver Transplantation ◽  
Pediatric Liver ◽  
Lateral Segment ◽  
Left Lateral Segment

Optimizing liver division technique for procuring left lateral segment grafts – new anatomical insights

2020 ◽  
Author(s):  
Vincenzo Carollo ◽  
Roberto Cannella ◽  
Gianvincenzo Sparacia ◽  
Giuseppe Mamone ◽  
Settimo Caruso ◽  
...  
Keyword(s):  
Lateral Segment ◽  
Left Lateral Segment

scholarly journals PREOPERATIVE IMAGING PARAMETERS AND EARLY POSTOPERATIVE OUTCOMES IN ADULT PATIENTS WITH TETRALOGY OF FALLOT

2020 ◽  
Vol 75 (11) ◽  
pp. 645
Author(s):  
Jessie Hu ◽  
Crystal Bonnichsen ◽  
Joseph Dearani ◽  
Devon Aganga ◽  
Jonathan Johnson ◽  
...  
Keyword(s):  
Tetralogy Of Fallot ◽  
Adult Patients ◽  
Postoperative Outcomes ◽  
Preoperative Imaging ◽  
Imaging Parameters

scholarly journals Postoperative Outcomes in Ustekinumab-Treated Patients Undergoing Abdominal Operations for Crohn’s Disease

2017 ◽  
Vol 12 (4) ◽  
pp. 402-407 ◽  
Author(s):  
Amy L Lightner ◽  
Nicholas P McKenna ◽  
Chung Sang Tse ◽  
Neil Hyman ◽  
Radhika Smith ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Postoperative Outcomes ◽  
Abdominal Operations

A NEW APPROACH TO THE LEFT-LATERAL SEGMENT HEPATIC TRANSPLANT THE FLOP

1990 ◽  
Vol 49 (3) ◽  
pp. 660-662 ◽  
Author(s):  
S. P. Dunn ◽  
M. R. Langham ◽  
L. M. Marmon
Keyword(s):  
New Approach ◽  
Lateral Segment ◽  
Left Lateral Segment

Value of peritoneal drain placement after total gastrectomy for gastric adenocarcinoma: A multi-institutional analysis from the U.S. Gastric Cancer Collaborative.

2015 ◽  
Vol 33 (3_suppl) ◽  
pp. 131-131
Author(s):  
Gregory C. Dann ◽  
Malcolm Hart Squires ◽  
Lauren McLendon Postlewait ◽  
David A. Kooby ◽  
George A. Poultsides ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Anastomotic Leak ◽  
Total Gastrectomy ◽  
Gastric Adenocarcinoma ◽  
Multivariate Analyses ◽  
Major Complication ◽  
Postoperative Outcomes ◽  
Drain Placement ◽  
The U.S

131 Background: A recent randomized trial of peritoneal drain (PD) placement after pancreaticoduodenectomy concluded that placement of PDs decreased the frequency and severity of complications. The role of PD placement after total gastrectomy for gastric adenocarcinoma (GAC) is not well-established. Methods: Patients who underwent total gastrectomy for GAC at 7 institutions from the U.S. Gastric Cancer Collaborative from 2000-2012 were identified. Univariate and multivariate analyses were performed to evaluate the association of PD placement with postoperative outcomes. Results: 344 patients were identified and anastomotic leak rate was 9%.253 (74%) patients received a PD. Those with PD placed had similar ASA class, tumor size, TNM stage, and need for additional organ resection when compared to their counterparts with no PD. No difference was observed in the rate of any complication (54% vs. 48%;p=0.45), major complication (25% vs. 24%;p=0.90), or 30-day mortality (7% vs. 4%;p=0.51) between the two groups. In addition, no difference in anastomotic leak (9% vs. 10%;p=0.90), need for secondary drainage (10% vs. 9%;p=0.92), or reoperation (13% vs. 8%;p=0.28) was identified. On multivariate analysis, PD placement was not associated with a decrease in frequency or severity of postoperative complications. Subset analysis of patients stratified by whether they underwent concomitant pancreatectomy similarly demonstrated no association of PD placement with reduced complications or mortality. In patients who experienced an anastomotic leak (n=31), placement of PD was similarly not associated with a decrease in complications, need for secondary drainage, or mortality. Conclusions: Peritoneal drain placement after total gastrectomy for adenocarcinoma, regardless of concomitant pancreatectomy, is not associated with a decrease in the frequency and severity of adverse postoperative outcomes, including anastomotic leak and mortality, or decrease in the need for secondary drainage procedures or reoperation. Routine use of peritoneal drains is not warranted.

Sign in / Sign up

Export Citation Format

Share Document