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Invited Critique
December 2000

Randomized Trial of the Usefulness of a Bile Leakage Test During Hepatic Resection—Invited Critique

Author Affiliations

Copyright 2000 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2000

Arch Surg. 2000;135(12):1400. doi:10.1001/archsurg.135.12.1400

Biliary leakage, an uncommon complication following liver resection, can cause septic complications. When leaks occur, closed suction drains left at the time of abdominal closure or drains placed percutaneously usually allow spontaneous resolution within days or weeks. Major biliary fistulas, though rare, may require further intervention that includes endoscopic retrograde cholangiopancreatography and stent placement. Thus, any technique that reduces this complication is of interest to surgeons performing liver resection.

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