Biliary Leak from Ducts of Luschka: Systematic Review of the Literature

Antonio Vitiello; Maria Spagnuolo; Marcello Persico; Roberto Peltrini; Giovanna Berardi; Pietro Calabrese; Carlo De Werra; Carmela Rescigno; Roberto Troisi; Vincenzo Pilone

doi:10.3390/surgeries5010008

Surgeries (Feb 2024)

Biliary Leak from Ducts of Luschka: Systematic Review of the Literature

Antonio Vitiello,
Maria Spagnuolo,
Marcello Persico,
Roberto Peltrini,
Giovanna Berardi,
Pietro Calabrese,
Carlo De Werra,
Carmela Rescigno,
Roberto Troisi,
Vincenzo Pilone

Affiliations

Antonio Vitiello: Advanced Biomedical Sciences Department, Naples “Federico II” University, AOU “Federico II”—Via S. Pansini 5, 80131 Naples, Italy
Maria Spagnuolo: Public Health Department, Naples “Federico II” University, AOU “Federico II”—Via S. Pansini 5, 80131 Naples, Italy
Marcello Persico: Public Health Department, Naples “Federico II” University, AOU “Federico II”—Via S. Pansini 5, 80131 Naples, Italy
Roberto Peltrini: Public Health Department, Naples “Federico II” University, AOU “Federico II”—Via S. Pansini 5, 80131 Naples, Italy
Giovanna Berardi: Advanced Biomedical Sciences Department, Naples “Federico II” University, AOU “Federico II”—Via S. Pansini 5, 80131 Naples, Italy
Pietro Calabrese: Public Health Department, Naples “Federico II” University, AOU “Federico II”—Via S. Pansini 5, 80131 Naples, Italy
Carlo De Werra: Advanced Biomedical Sciences Department, Naples “Federico II” University, AOU “Federico II”—Via S. Pansini 5, 80131 Naples, Italy
Carmela Rescigno: Presidio Ospedaliero Santa Maria Incoronata dell’Olmo di Cava de’ Tirreni, Azienda Ospedaliera Integrata con l’Università, Via de Marinis, 84131 Cava dei Tirreni, Italy
Roberto Troisi: Clinical Medicine and Surgery Department, Naples “Federico II” University, AOU “Federico II”—Via S. Pansini 5, 80131 Naples, Italy
Vincenzo Pilone: Public Health Department, Naples “Federico II” University, AOU “Federico II”—Via S. Pansini 5, 80131 Naples, Italy

DOI: https://doi.org/10.3390/surgeries5010008
Journal volume & issue: Vol. 5, no. 1
pp. 63 – 72

Abstract

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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.

Published in Surgeries

ISSN: 2673-4095 (Online)
Publisher: MDPI AG
Country of publisher: Switzerland
LCC subjects: Medicine: Surgery
Website: https://www.mdpi.com/journal/surgeries

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