2020 Volume 34 Issue 5 Pages 897-903
A 60-year old man was referred to our hospital due to necrotizing cholecystitis and laparoscopic cholecystectomy was performed. A necrotized gallbladder was recognized and necrotized cystic duct was ligated twice by absorbable monofilament suture and dissected. Immediately after the operation, bile leakage was detected in drainage tube. The leakage of a contrast medium was found nearby cystic duct stump by ERC but the leakage point was unclear. We considered the reduction of common bile duct pressure with stable patency of biliary stent. Therefore, the patient received covered-metal stent and the bile leakage disappeared on the 11 days after placement of stent. Removal of stent was performed on the 4 month after operation. The remnant of cystic duct was contrasted but leakage was not detected. In the point of quality of life, covered-metal stent was acceptable and efficient as a treatment option of bile leakage after laparoscopic cholecystectomy.
