Biliary Leak from Ducts of Luschka: Systematic Review of the Literature
Injury to the Luschka ducts (LDs), also named “subvesicular” ducts, is an under-reported cause of biliary leak following laparoscopic cholecystectomy (LC). A systematic literature search according to PRISMA guidelines was conducted in PubMed, EMBASE and Cochrane Library including all publications th...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Surgeries |
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| Online Access: | https://www.mdpi.com/2673-4095/5/1/8 |
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| author | Antonio Vitiello Maria Spagnuolo Marcello Persico Roberto Peltrini Giovanna Berardi Pietro Calabrese Carlo De Werra Carmela Rescigno Roberto Troisi Vincenzo Pilone |
| author_facet | Antonio Vitiello Maria Spagnuolo Marcello Persico Roberto Peltrini Giovanna Berardi Pietro Calabrese Carlo De Werra Carmela Rescigno Roberto Troisi Vincenzo Pilone |
| author_sort | Antonio Vitiello |
| collection | DOAJ |
| description | Injury to the Luschka ducts (LDs), also named “subvesicular” ducts, is an under-reported cause of biliary leak following laparoscopic cholecystectomy (LC). A systematic literature search according to PRISMA guidelines was conducted in PubMed, EMBASE and Cochrane Library including all publications that described a bile leak from an LD. A total of 136 articles were retrieved from the searched databases. After the removal of duplicates and non-eligible papers, 48 studies reporting 231 leaks were included: 20 (41.6%) case reports, 2 (4.3%) comparative studies, 7 (14.9%) meeting abstracts and 19 (40.4%) retrospective cohort articles. The rate of LD leak ranges from 0.05% to 1.9%, but injury to a duct of Luschka was the second most common cause of biliary leakage in all the cohort studies (5.5% to 41%). In 21 (43.7%) cases, the leak was successfully treated with a sphincterotomy through Endoscopic Retrograde Cholangiopancreatography (ERCP) plus or minus stenting, and in 12 (25%), re-laparoscopy was necessary. |
| first_indexed | 2024-04-24T17:48:15Z |
| format | Article |
| id | doaj.art-53c4b61a6e734e688e1358b2d4d465d7 |
| institution | Directory Open Access Journal |
| issn | 2673-4095 |
| language | English |
| last_indexed | 2024-04-24T17:48:15Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Surgeries |
| spelling | doaj.art-53c4b61a6e734e688e1358b2d4d465d72024-03-27T14:05:15ZengMDPI AGSurgeries2673-40952024-02-0151637210.3390/surgeries5010008Biliary Leak from Ducts of Luschka: Systematic Review of the LiteratureAntonio Vitiello0Maria Spagnuolo1Marcello Persico2Roberto Peltrini3Giovanna Berardi4Pietro Calabrese5Carlo De Werra6Carmela Rescigno7Roberto Troisi8Vincenzo Pilone9Advanced Biomedical Sciences Department, Naples “Federico II” University, AOU “Federico II”—Via S. Pansini 5, 80131 Naples, ItalyPublic Health Department, Naples “Federico II” University, AOU “Federico II”—Via S. Pansini 5, 80131 Naples, ItalyPublic Health Department, Naples “Federico II” University, AOU “Federico II”—Via S. Pansini 5, 80131 Naples, ItalyPublic Health Department, Naples “Federico II” University, AOU “Federico II”—Via S. Pansini 5, 80131 Naples, ItalyAdvanced Biomedical Sciences Department, Naples “Federico II” University, AOU “Federico II”—Via S. Pansini 5, 80131 Naples, ItalyPublic Health Department, Naples “Federico II” University, AOU “Federico II”—Via S. Pansini 5, 80131 Naples, ItalyAdvanced Biomedical Sciences Department, Naples “Federico II” University, AOU “Federico II”—Via S. Pansini 5, 80131 Naples, ItalyPresidio Ospedaliero Santa Maria Incoronata dell’Olmo di Cava de’ Tirreni, Azienda Ospedaliera Integrata con l’Università, Via de Marinis, 84131 Cava dei Tirreni, ItalyClinical Medicine and Surgery Department, Naples “Federico II” University, AOU “Federico II”—Via S. Pansini 5, 80131 Naples, ItalyPublic Health Department, Naples “Federico II” University, AOU “Federico II”—Via S. Pansini 5, 80131 Naples, ItalyInjury to the Luschka ducts (LDs), also named “subvesicular” ducts, is an under-reported cause of biliary leak following laparoscopic cholecystectomy (LC). A systematic literature search according to PRISMA guidelines was conducted in PubMed, EMBASE and Cochrane Library including all publications that described a bile leak from an LD. A total of 136 articles were retrieved from the searched databases. After the removal of duplicates and non-eligible papers, 48 studies reporting 231 leaks were included: 20 (41.6%) case reports, 2 (4.3%) comparative studies, 7 (14.9%) meeting abstracts and 19 (40.4%) retrospective cohort articles. The rate of LD leak ranges from 0.05% to 1.9%, but injury to a duct of Luschka was the second most common cause of biliary leakage in all the cohort studies (5.5% to 41%). In 21 (43.7%) cases, the leak was successfully treated with a sphincterotomy through Endoscopic Retrograde Cholangiopancreatography (ERCP) plus or minus stenting, and in 12 (25%), re-laparoscopy was necessary.https://www.mdpi.com/2673-4095/5/1/8Luschka ductbiliary tree injurybiliary leakcholecystectomy |
| spellingShingle | Antonio Vitiello Maria Spagnuolo Marcello Persico Roberto Peltrini Giovanna Berardi Pietro Calabrese Carlo De Werra Carmela Rescigno Roberto Troisi Vincenzo Pilone Biliary Leak from Ducts of Luschka: Systematic Review of the Literature Surgeries Luschka duct biliary tree injury biliary leak cholecystectomy |
| title | Biliary Leak from Ducts of Luschka: Systematic Review of the Literature |
| title_full | Biliary Leak from Ducts of Luschka: Systematic Review of the Literature |
| title_fullStr | Biliary Leak from Ducts of Luschka: Systematic Review of the Literature |
| title_full_unstemmed | Biliary Leak from Ducts of Luschka: Systematic Review of the Literature |
| title_short | Biliary Leak from Ducts of Luschka: Systematic Review of the Literature |
| title_sort | biliary leak from ducts of luschka systematic review of the literature |
| topic | Luschka duct biliary tree injury biliary leak cholecystectomy |
| url | https://www.mdpi.com/2673-4095/5/1/8 |
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