Comparisoil between ERCP and conventional treatment for bile leakage after cholecystectomy

Objective To compare the therapeutic result between ERCP and conventional treatment for bile leakage after cholecystectomy. Methods Data of 35 cases with bile leakage after cholecystectomy were retrospectively studied, in which 18 patients underwent conventional therapy and surgery （conventional group）, and 17 others underwent ERCP （endoscopy group）. The time of bile leakage closure, complication rate, and re-operation rate of the 2 groups were compared. Results In conventional group, leakage location was identified in 7 cases and mean bile leakage closure time was 23 days. A second operation was performed in 8 cases and complications occurred in 7. In endoscopy group, leakage location was identified in 13 cases and mean bile leakage closure time was 13 days. A second operation was performed in 2 cases and complications occurred in 3. Significant differences were found between 2 groups in regarding of the above references. Conclusion ERCP is accurate and valuable for diagnosis and treatment for bile leakage after cholecystectomy. Key words: Cholecystectomy;  Biliary fistula;  Endoscopes ;  Comparative study