The value of intraoperative white-test for biliary leakage following hepatic resection
نویسندگان
چکیده
منابع مشابه
Biliary Stricture Following Hepatic Resection
Anatomic distortion and displacement of hilar structures due to liver lobe atrophy and hypertrophy occasionally complicates the surgical approach for biliary stricture repair. Benign biliary stricture following hepatic resection deserves special consideration in this regard because the inevitable hypertrophy of the residual liver causes marked rotation and displacement of the hepatic hilum that...
متن کاملThe White test: a new dye test for intraoperative detection of bile leakage during major liver resection.
OBJECTIVE To describe a new intraoperative bile leakage test in patients undergoing a major liver resection aimed to combine the advantages of each of the other standard bile leakage tests (accurate visualization of leaks, reproducibility, and ease of use) without their disadvantages. METHODS At the end of the major hepatic resection, 10 to 30 mL of sterile fat emulsion, 5%, is injected via a...
متن کاملEvaluation of the White Test for the Intraoperative Detection of Bile Leakage
We assess whether the White test is better than the conventional bile leakage test for the intraoperative detection of bile leakage in hepatectomized patients. This study included 30 patients who received elective liver resection. Both the conventional bile leakage test (injecting an isotonic sodium chloride solution through the cystic duct) and the White test (injecting a fat emulsion solution...
متن کاملThe White-test helps to reduce biliary leakage in liver resection: a systematic review and meta-analysis.
BACKGROUND Bile leakage testing may help to detect and reduce the incidence of biliary leakage after hepatic resection. This review was performed to investigate the value of the White-test in identifying intraoperative biliary leakage and avoiding postoperative leakage. MATERIAL AND METHODS A systematic review and meta-analysis was performed. Two researchers performed literature research. Pri...
متن کاملIntraoperative Evaluation of Hepatic Biliary Lesions
IntroduCtIon Most hepatic biliary lesions are benign and incidentally discovered during procedures unrelated to the liver. Benign bile duct proliferations are gray–white subcapsular nodules that are often multiple, so it is not surprising that their detection results in more liver frozen sections than any other finding. In contrast, a diagnosis of intrahepatic cholangiocarcinoma is almost alway...
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ژورنال
عنوان ژورنال: HPB
سال: 2016
ISSN: 1365-182X
DOI: 10.1016/j.hpb.2016.01.031