B.T. Papaziogas, I.N. Galanis, I.M. Koutelidakis, T.B. Papaziogas, T.E. Pavlidis, K.S. Atmatzidis,SUMMARY Purpose: Laparoscopic cholecystectomy has become the standard method in the management of cholelithiasis. Subhepatic bile collection or biloma is a relatively uncommon complication, which is highlighted in this paper. Methods-Results: Over the past two-year period the same surgeon performed 180 laparoscopic cholecystectomies without any intra-operative event. All patients but three had an uneventful postoperative course (morbidity 1.6%). In 3 cases (women, 72-74-88 years-old) the US-scanning revealed a sub-hepatic biloma manifested by persistent right upper quadrant or epigastric pain, abdominal distention, fever and leukocytosis. In one case there was co-existent gastric outlet obstruction two weeks after the operation and mild obstructive jaundice in another one. All were managed successfully by drainage under ultrasound guidance and antibiotics, prolonging the hospitalization. Conclusions: Small bile leakage and biloma formation is a rather unusual complication after laparoscopic cholecystectomy that should be kept in mind. Key words: Laparoscopy, Cholelithiasis, Laparoscopic cholecystectomy, Complications, Biloma, Bile leakageapplication/pdfhttp://www.annalsgastro.gr/index.php/annalsgastro/article/view/138engHellenic Society of Gastroenterology1792-74631108-7471Annals of Gastroenterology; Volume 15, No 2 (2002)Biloma after laparoscopic cholecystectomyinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion2007-03-19Δημοσίευση σε περιοδικόPublication in journalΓαστροεντερολογίαGastroenterologyisi -Gastroenterology & Hepatology covers resources on the anatomy, physiology, biochemistry, and pathology of the digestive system. This category includes specific resources on the prognosis and treatment of digestive diseases; stomach ulcers; metabolic, genetic, infectious and chemically induced diseases of the liver; colitis; diseases of the pancreas and diseases of the rectum.Επιστημονικό άρθροScientific articleΕλληνική Γαστροεντερολογική ΕταιρίαGreek Aggregator OpenArchives.gr | National Documentation Centre (EKT)other