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Semin intervent Radiol 2016; 33(04): 307-312
DOI: 10.1055/s-0036-1592324
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Diagnosis and Management of Postoperative Biliary Leaks

Arian M. Nikpour
1   Division of Interventional Radiology, Department of Radiology, UC Davis Medical Center, UC Davis School of Medicine, Sacramento, California
,
R. Justin Knebel
1   Division of Interventional Radiology, Department of Radiology, UC Davis Medical Center, UC Davis School of Medicine, Sacramento, California
,
Danny Cheng
1   Division of Interventional Radiology, Department of Radiology, UC Davis Medical Center, UC Davis School of Medicine, Sacramento, California
› Author Affiliations
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Publication History

Publication Date:
31 October 2016 (online)

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Abstract

Postoperative biliary leaks have become more common in the past three decades since the development of laparoscopic biliary surgery. The role of the radiologist and interventional radiologist is important in the diagnosis and treatment of such complications, and can play an adjunctive role in the definitive surgical repair. Ultrasound, computed tomography, magnetic resonance cholangiopancreatography, nuclear medicine cholescintigraphy studies, and percutaneous transhepatic cholangiograms (PTC) are the various imaging modalities used for diagnosis. Interventional radiology treatment involves percutaneous drainage of bilomas, characterization of the biliary tree and assessment of the site of ductal injury with PTC, and biliary diversion with external biliary drainage.

Keywords

biliary leak - biloma - percutaneous transhepatic cholangiogram - cholecystectomy - interventional radiology
 

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