Successful treatment of Post Cholecystectomy Biliary Peritonitis with Minimally Invasive Techniques - Our Experience with few cases

Author(s): Utpal Baruah, Zabeena Saeed, Siddu Kalal Goud, SK MD Azharuddin

Introduction: The management of bile leaks following laparoscopic biliarysurgery has evolved with increased experience of ERCP and laparoscopy. The purpose of this study was to determine the impact of a minimally invasive procedure for managing severe biliary peritonitis cases.

Patients and Methods: Three patients with a bile leak following laparoscopic cholecystectomy/ CBD surgery were managed on a case-bycase basis. All patients were managed according to a minimally invasive protocol utilising ERC/biliary stenting and relaparoscopy.

Results: In our study, ERC + stenting was performed in all 3 cases with the main indication being a persistent bile leak. Relaparoscopy was performed in all the cases. No laparotomies were performed and there were no postoperative deaths.

Conclusions: The introduction of a minimally invasive procedures utilising ERC and re-laparoscopy offers an effective modern way for the management of bile leaks after laparoscopic cholecystectomy.