The Role of Transpapillary Stenting in the Treatment of Bile Leakage After Liver Transection.

The Role of Transpapillary Stenting in the Treatment of Bile Leakage After Liver Transection.

Bile leakage after liver transection is treated by external drainage. The question addressed is whether downstream control by transpapillary stent insertion into distal bile duct can enhance healing.

All patients who present with clinically significant bile leakage after liver resection at postoperative day two or longer are offered the opportunity to become randomized to either continuous external drainage or the addition of transpapillary stent.

Inclusion Criteria:

• Liver resection including at least two liver segments.

Exclusion Criteria:

• Hepatobiliary digestive anastomosis.