Pure laparoscopic management of early biliary leakage after liver transplantation: Abdominal lavage and T‐Tube placement

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“…In our reported case, we treated the diffuse biliary peritonitis and solved the biliary leak by placing a T-tube during a single laparoscopic procedure. The main difference between our reported case and the series by Sepulveda et al 1 is that all of their patients presented with late leakages (median, 16; range, 10-70 days). Both managements, totally laparoscopic and fully endoscopic, are feasible and safe, but we believe that the time of onset supposes an essential issue for choosing the most suitable therapy.…”

“…Additionally, ERCP is not exempt from complications, some of which are life-threatening such as duodenal perforations or severe pancreatitis. 4 Sepulveda et al 1 report some of these adverse events in 3 patients of their series, including stent migration, stent obstruction, and liver abscess.…”

Minimally Invasive Surgery in Liver Transplantation: From Living Liver Donation to Graft Implantation

“…LT is a major procedure with many major or minor complications [76][77][78][79][80][81][82][83]. Some of the most common post-operative LT complications that require surgical intervention include biliary complications (biliary peritonitis, biliary leakage, biliary stricture), internal hernias, ascites, abscesses and rejection-related complications [84][85][86][87][88]. Interventional radiology procedures can be used for the management of some of these complications with great success [87].…”

“…Some of the most common post-operative LT complications that require surgical intervention include biliary complications (biliary peritonitis, biliary leakage, biliary stricture), internal hernias, ascites, abscesses and rejection-related complications [84][85][86][87][88]. Interventional radiology procedures can be used for the management of some of these complications with great success [87]. In cases that require surgical intervention, there is the potential for a MIS approach in the treatment of post LT complications [87][88][89][90][91][92].…”

“…Interventional radiology procedures can be used for the management of some of these complications with great success [87]. In cases that require surgical intervention, there is the potential for a MIS approach in the treatment of post LT complications [87][88][89][90][91][92].…”