Introduction. The leading place in the structure of postoperative complications after laparoscopic cholecystectomy takes external or intra-abdominal bile leakage in the early postoperative period.
The aim of the work was to improve the results of surgical treatment of patients with cholelithiasis, with the presence of bile leakage after laparoscopic cholecystectomy using minimally invasive techniques.
Methods and results. The analysis of results of surgical treatment of 9067 patients with cholelithiasis who underwent laparoscopic cholecystectomy. In the early postoperative period 53 (0.58%) patients had bile leakage; 21 (39.6%) patients with bile were leakage cured by conservative methods. When bile leakage drainage 200 ml for 2–3 days after surgery, 19 (35.8%) patients was decompressed by the endoscopic biliary tree or holding papillotomy, bile duct drainage, which was effective in 10 (18.9%) patients. In 9 (17%) of the patients it was performed relaparoscopy. In 10 (18.9%) patients limited accumulation of bile in the peritoneal cavity was revealed by ultrasonography; 6 (11.3%) of them had relaparoscopy, and 4 (7.6%) — puncture under ultrasonography. Laparotomy was performed in 3 (5.7%) patients. There were no septic complications and mortality in our study.
Conclusions. Thus, relaparoscopy, transduodenal endoscopic interventions and puncture methods for the treatment of bile leakage after laparoscopic cholecystectomy was effective in 50 (94.3%) patients.