E-ISSN 2534-9821
 

Original Article 


Bile leakage test in hepatectomy is better when it bubbles?

Marcelo D'Oliveira, Hanna Vasconcelos, Klaus Steinbruck, Reinaldo Fernandes, Luiza Rodrigues, Rafaela Capelli, Renato Cano, Marcelo Enne.

Abstract
Background:
Liver resection is the only potentially curative treatment for liver tumors. Billiary fistulas remains a major concern in hepatectomies and its incidences has not changed over the past few decades. Many methods have been suggested to prevent bile leakage without a significance acceptance.
Aim:
Assess whether the systematic use of the bile leakage test during liver resections reduces the incidence of biliary fistula in the postoperative period.
Materials and Methods:
From December 2016 to February 2020, sixty-two hepatectomies performed using bile leakage test were prospectively analyzed to compare the incidence of biliary fistula in patients that had a negative bile leak test (group A) and patients that had a positive test (group B). The bile leak test was performed after liver transection, by injection of 10 mL of saline solution in the cystic duct, through a cholangiography catheter followed by 10 ml of air twice. Leaking points were sutured with 5-0 monofilament polypropylene.
Results:
Twenty-seven patients (46%) were allocated to group A and thirty-two patients (54%) were allocated to group B. Three patients were excluded from analysis. Three patients (5%) evolved with biliary fistula in the postoperative period, two from the group A and one from group B, with no significant difference (p = 0.45).
Conclusion:
In conclusion, the bile leakage test proposed in the present study proved to be safe, with no complications related to the test. Even though there was no significant difference in the number of patients that evolved with fistula between the analyzed groups, results suggest that the majority of patients with a positive test may have benefited from the exam and did not developed biliary fistula. Further studies, with a larger group of patients, are necessary to corroborate this statement.

Key words: Biliary Fistula, Liver Surgery, Hepatectomy


 
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How to Cite this Article
Pubmed Style

DOliveira M, Vasconcelos H, Steinbruck K, Fernandes R, Rodrigues L, Capelli R, Cano R, Enne M. Bile leakage test in hepatectomy is better when it bubbles?. Int J Med Rev Case Rep. 2020; 4(8): 63-66. doi:10.5455/IJMRCR.BILE-LEAKAGE-TEST-IN-HEPATECTOMY


Web Style

DOliveira M, Vasconcelos H, Steinbruck K, Fernandes R, Rodrigues L, Capelli R, Cano R, Enne M. Bile leakage test in hepatectomy is better when it bubbles?. http://www.mdpub.net/?mno=302645322 [Access: November 03, 2020]. doi:10.5455/IJMRCR.BILE-LEAKAGE-TEST-IN-HEPATECTOMY


AMA (American Medical Association) Style

DOliveira M, Vasconcelos H, Steinbruck K, Fernandes R, Rodrigues L, Capelli R, Cano R, Enne M. Bile leakage test in hepatectomy is better when it bubbles?. Int J Med Rev Case Rep. 2020; 4(8): 63-66. doi:10.5455/IJMRCR.BILE-LEAKAGE-TEST-IN-HEPATECTOMY



Vancouver/ICMJE Style

DOliveira M, Vasconcelos H, Steinbruck K, Fernandes R, Rodrigues L, Capelli R, Cano R, Enne M. Bile leakage test in hepatectomy is better when it bubbles?. Int J Med Rev Case Rep. (2020), [cited November 03, 2020]; 4(8): 63-66. doi:10.5455/IJMRCR.BILE-LEAKAGE-TEST-IN-HEPATECTOMY



Harvard Style

DOliveira, M., Vasconcelos, . H., Steinbruck, . K., Fernandes, . R., Rodrigues, . L., Capelli, . R., Cano, . R. & Enne, . M. (2020) Bile leakage test in hepatectomy is better when it bubbles?. Int J Med Rev Case Rep, 4 (8), 63-66. doi:10.5455/IJMRCR.BILE-LEAKAGE-TEST-IN-HEPATECTOMY



Turabian Style

DOliveira, Marcelo, Hanna Vasconcelos, Klaus Steinbruck, Reinaldo Fernandes, Luiza Rodrigues, Rafaela Capelli, Renato Cano, and Marcelo Enne. 2020. Bile leakage test in hepatectomy is better when it bubbles?. International Journal of Medical Reviews and Case Reports, 4 (8), 63-66. doi:10.5455/IJMRCR.BILE-LEAKAGE-TEST-IN-HEPATECTOMY



Chicago Style

DOliveira, Marcelo, Hanna Vasconcelos, Klaus Steinbruck, Reinaldo Fernandes, Luiza Rodrigues, Rafaela Capelli, Renato Cano, and Marcelo Enne. "Bile leakage test in hepatectomy is better when it bubbles?." International Journal of Medical Reviews and Case Reports 4 (2020), 63-66. doi:10.5455/IJMRCR.BILE-LEAKAGE-TEST-IN-HEPATECTOMY



MLA (The Modern Language Association) Style

DOliveira, Marcelo, Hanna Vasconcelos, Klaus Steinbruck, Reinaldo Fernandes, Luiza Rodrigues, Rafaela Capelli, Renato Cano, and Marcelo Enne. "Bile leakage test in hepatectomy is better when it bubbles?." International Journal of Medical Reviews and Case Reports 4.8 (2020), 63-66. Print. doi:10.5455/IJMRCR.BILE-LEAKAGE-TEST-IN-HEPATECTOMY



APA (American Psychological Association) Style

DOliveira, M., Vasconcelos, . H., Steinbruck, . K., Fernandes, . R., Rodrigues, . L., Capelli, . R., Cano, . R. & Enne, . M. (2020) Bile leakage test in hepatectomy is better when it bubbles?. International Journal of Medical Reviews and Case Reports, 4 (8), 63-66. doi:10.5455/IJMRCR.BILE-LEAKAGE-TEST-IN-HEPATECTOMY