{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:49:53Z","timestamp":1791823793061,"version":"4.3.4"},"reference-count":31,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,6,7]],"date-time":"2018-06-07T00:00:00Z","timestamp":1528329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,6,7]],"date-time":"2018-06-07T00:00:00Z","timestamp":1528329600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Biliary leak following severe blunt liver injuries is a complex problem becoming more frequent with improvements in non\u2010operative management. Standard treatment requires main bile duct drainage usually performed by endoscopic sphincterotomy and stent placement. We report our experience with cholecystostomy as a first minimally invasive diagnostic and therapeutic approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective analysis of consecutive patients with post\u2010traumatic biliary leak between 2006 and 2015. In the first period (2006\u20132010), biliary fistula was managed using perihepatic drainage and endoscopic, percutaneous or surgical main bile duct drainage. After 2010, cholecystostomy as an initial minimally invasive approach was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 341 patients with blunt liver injury, 18 had a post\u2010traumatic biliary leak. Ten patients received standard treatment and eight patients underwent cholecystostomy. The cholecystostomy (62.5%) and the standard treatment (80%) groups presented similar success rates as the first biliary drainage procedure (<jats:italic>p\u2009<\/jats:italic>=\u20090.41). Cholecystostomy presented no severe complications and resulted, when successful, in a bile flow rate inversion between the perihepatic drains and the gallbladder drain within a median [IQR] 4\u00a0days [1\u20137]. The median time for bile leak resolution was 26\u00a0days in the cholecystostomy group and 39\u00a0days in the standard treatment group (<jats:italic>p\u2009<\/jats:italic>=\u20090.09). No significant difference was found considering median duration of hospital stay (54 and 74\u00a0days, respectively, <jats:italic>p\u2009<\/jats:italic>=\u20090.37) or resuscitation stay (17.5 and 19.5\u00a0days, <jats:italic>p\u2009<\/jats:italic>=\u20090.59).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Cholecystostomy in non\u2010operative management of biliary fistula after blunt liver injury could be an effective, simple and safe first\u2010line procedure in the diagnostic and therapeutic approach of post\u2010traumatic biliary tract injuries.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-018-4621-y","type":"journal-article","created":{"date-parts":[[2018,6,7]],"date-time":"2018-06-07T18:36:31Z","timestamp":1528396591000},"page":"3705-3714","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Preliminary Report of Percutaneous Cholecystostomy as Diagnosis and Treatment of Biliary Tract Trauma"],"prefix":"10.1002","volume":"42","author":[{"given":"Jean\u2010Baptiste","family":"Cazauran","sequence":"first","affiliation":[{"name":"D\u00e9partement de Chirurgie d\u2019Urgence et de Chirurgie G\u00e9n\u00e9rale, Hospices Civils de Lyon H\u00f4pital Edouard Herriot 5 Place d\u2019Arsonval 69003 Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud","family":"Muller","sequence":"additional","affiliation":[{"name":"D\u00e9partement d\u2019Imagerie M\u00e9dicale, Hospices Civils de Lyon H\u00f4pital Edouard Herriot Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baptiste","family":"Hengy","sequence":"additional","affiliation":[{"name":"D\u00e9partement de R\u00e9animation chirurgicale, Hospices Civils de Lyon H\u00f4pital Edouard Herriot Lyon 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