ArticlePediatric surgery international2021
Risk factors and outcomes of bile leak after laparoscopic surgery for congenital biliary dilatation.
Article in Pediatric surgery international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 15 citations in OpenAlex.
- Surgical outcomes in neonates and infants with congenital choledochal malformation: analysis of the Pediatric Health Information System (PHIS) database.Pediatric surgery international · 2026Article
- Clinical characteristics of and risk factors for hepatolithiasis developed after surgery for congenital biliary dilatation.World journal of gastrointestinal surgery · 2026Article
- Robotic excision of choledochal cysts with Roux-en-Y hepatico-jejunostomy in children: surgical technique, experience and outcomes.Journal of robotic surgery · 2025Article
- Endoscopic retrograde cholangiopancreatography for the treatment of common bile duct dilatation with choledocholithiasis in children: a single-center retrospective cohort study of 58 cases.BMC pediatrics · 2025Observational
- Nomograms for postoperative complications in congenital biliary dilatation: a retrospective cohort study.Frontiers in pediatrics · 2025Article
- Laparoscopic Excision of Choledochal Cysts with Roux-en-Y Hepaticojejunostomy in Children: Surgical Technique, Experience, and Outcomes.Journal of Indian Association of Pediatric SurgeonsArticle
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Authors and funding
12 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeOne of the main causes of stricture at hepaticojejunostomy site after surgery for congenital biliary dilatation is inflammation or infection associated with bile leak. The aim of this study was to determine the risk factors and outcomes of bile leak after laparoscopic surgery.
methodsWe retrospectively reviewed the demographics and outcomes of patients who underwent laparoscopic surgery for congenital biliary dilatation between September 2013 and December 2019. Data from patients with bile leak were compared to data from patients without bile leak.
resultsFourteen of 78 patients had bile leak. Hepatic duct diameter at anastomosis was the only risk factor of bile leak. Patients with the diameter ≤ 10 mm had higher incidence of bile leak than in patients with the diameter > 10 mm (P = 0.0023). Among them, bile leak occurred more frequently in patients operated on by non-qualified surgeons based on the Japan Society for Endoscopic Surgery endoscopic surgical skill qualification system than by qualified surgeons (P = 0.027). However, none of the patients with bile leak developed anastomotic stricture afterwards.
conclusionAlthough good technical skill is necessary to avoid bile leak in narrow hepatic duct cases (≤ 10 mm), slight bile leak may not result in anastomotic stricture.
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