Review Article

Bile Duct Leaks from the Intrahepatic Biliary Tree: A Review of Its Etiology, Incidence, and Management

Table 1

Bile leaks following surgery for Hydatid cysts of liver.

NumberAuthorN =Bile leaksPresentationManagementComments

(1)Agarwal et al. [12]8614 (16%)Bile cutaneous fistula 11;
biloma 3
Spontaneous closure in 11;
ERCP in 3
All leaks in conservative surgery group
(2)Puliga et al. [13]23227 (11.6%)ā€”ā€”25.2% leaks in conservative; 2.8% in radical
(3)Unalp et al. [14]18324 (13.1%)17 low output;
7 high output
17 spontaneous closure;
7 ERCP
All conservative surgery
(4)Silva et al. [15]307 (23.3%)Bilio cutaneous fistula 7Drainage alone29 conservative;
1 radical
(5)Skroubis et al. [18]18718 (10%)3 bilomas;
1 bile peritonitis,
14 biliary fistulas (1 bronchobiliary)
13 drainage alone;
5 ERCP (including broncho biliary)
All conservative surgery