Intraoperative air leak test was useful for the detection of a small biliary fistula: A rare case of non-parasitic hepatic cysts with biliary communication

Shimizu, Atsushi; Hata, Shojiro; Kobayashi, Kaoru; Teruya, Masanori; Kaminishi, Michio

doi:10.1016/j.ijscr.2015.09.014

Cited by 4 publications

(5 citation statements)

References 16 publications

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“…For the intraoperative bile leak test to identify the cystobiliary communication, various agents have been applied such as air and indocyanine green . In the present case, we injected indigo carmine from the catheter that had been laparoscopically inserted through the cystic duct, and owing to the expanding vision effect of laparoscopic surgery, we were able to easily and clearly identify indigo carmine leakage from the cystobiliary communication.…”

Section: Discussionmentioning

confidence: 81%

Spontaneously ruptured hepatic cyst treated with laparoscopic deroofing and cystobiliary communication closure: A case report

Shimada

Hara

Wada

et al. 2016

Asian J Endoscop Surgery

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The rupture of a nonparasitic hepatic cyst with biliary communication is rare. We report the case of a patient with a hepatic cyst with biliary communication that spontaneously ruptured and was successfully treated by laparoscopic deroofing and closure of the communication. A 61-year-old woman presented at our hospital with a chief complaint of right upper abdominal pain. Enhanced abdominal CT showed a collapsed hepatic cyst and fluid collection. Drip infusion CT cholangiography showed contrast medium pooling in the collapsed cyst. Therefore, hepatic cyst rupture with biliary communication was diagnosed, and laparoscopic deroofing and closure of the communication were performed. The postoperative course was uneventful, and the patient was discharged on postoperative day 6. In cases of hepatic cyst rupture, even in the presence of biliary communication, laparoscopic deroofing and closure of the communication should be recommended as the first-choice treatment.

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Section: Discussionmentioning

confidence: 81%

Spontaneously ruptured hepatic cyst treated with laparoscopic deroofing and cystobiliary communication closure: A case report

Shimada

Hara

Wada

et al. 2016

Asian J Endoscop Surgery

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“…Shimizu et al also recommend an intraoperative air leak test through air injection into the bile duct and obliteration of small biliary orifices. However, the validity of the results could be questionable due to the small sample size of the study [16].…”

Section: Discussionmentioning

confidence: 92%

Lili-Hics trial: Efficacy of the lipid test in liver hydatid cyst surgery

Sabuncuoglu,

Sozen,

Zihni

et al. 2024

Biomol Biomed

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Bile leakage is a common complication following liver surgeries, particularly in the cases of liver hydatid cyst operations. Currently, there is no adequate method which could be utilized to prevent this complication effectively. Our study aimed to assess the efficacy of the biliary lipid test (BLT) in reducing biliary complications after hydatid cyst surgery. We retrospectively included patients who underwent open liver hydatid cyst surgery between January 2011 and January 2024. The study encompassed 122 patients, with 41 males and 81 females, ranging in age from 18 to 79 years. In the BLT group, a lipid solution was injected transcystically after cholecystectomy. The BLT was performed on 65 patients, while 57 patients did not undergo the test. Following the transcystic injection of the lipid solution, orifices at the site of lipid droplets that became visible were ligated with 5.0 prolene sutures. A total of 200 leak sites were sutured. Notably, none of the patients in the BLT group experienced postoperative bile leakage. Consequently, a shorter hospital stay was observed in this group. Transcystic injection of the lipid solution with distal clamping effectively demonstrated leak sites, and suturing these sites prevented postoperative bile leakage. Our study demonstrates the effectiveness of the LIpid test in LIver Hydatid Cyst Surgery (Lili-Hics) in reducing biliary complications following hydatid cyst surgery.

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“…Hence, the importance of preoperative hydatid serology and postoperative histological examination [ 3 ]. Biliary MRI offers the advantage of providing better visualization of the biliary tree to rule out a biliary-cystic fistula [ [8] , [9] , [10] ]. In our case, MRI ruled out any communication with the bile ducts.…”

Section: Discussionmentioning

confidence: 99%

“…The technique of transcystic air injection during the deroofing operation for hepatic cysts with a small cyst–biliary communication was useful for the detection of the biliary orifice inside the cyst cavity. Surgeons should be aware of this technique as a useful option to obtain favorable outcomes, with reduced postoperative bile-related morbidity [ 10 ]. Additionally, the utilization of indocyanine green fluorescence as a similar technique can enhance intraoperative visualization and aid in identifying the biliary structures, further contributing to successful surgical outcomes and decreased postoperative complications [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Doubly complicated: A case of massive non-parasitic liver cyst presenting with dyspnea and inferior vena cava compression: A rare case report

Behi,

Dallagi,

Omry

et al. 2024

International Journal of Surgery Case Reports

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Intraoperative air leak test was useful for the detection of a small biliary fistula: A rare case of non-parasitic hepatic cysts with biliary communication

Abstract: HighlightsNon-parasitic hepatic cysts with biliary communication are extremely rare.Overlooking of the communication site may lead to postoperative bile leakage.Air leak test was useful for the detection of the small biliary communication.

Cited by 4 publications

References 16 publications

Spontaneously ruptured hepatic cyst treated with laparoscopic deroofing and cystobiliary communication closure: A case report

Spontaneously ruptured hepatic cyst treated with laparoscopic deroofing and cystobiliary communication closure: A case report

Lili-Hics trial: Efficacy of the lipid test in liver hydatid cyst surgery

Doubly complicated: A case of massive non-parasitic liver cyst presenting with dyspnea and inferior vena cava compression: A rare case report

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