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

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 th...

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Bibliographic Details
Published in:Surgeries 2024-03, Vol.5 (1), p.63-72
Main Authors: Vitiello, Antonio, Spagnuolo, Maria, Persico, Marcello, Peltrini, Roberto, Berardi, Giovanna, Calabrese, Pietro, De Werra, Carlo, Rescigno, Carmela, Troisi, Roberto, Pilone, Vincenzo
Format: Article
Language:English
Subjects:
biliary leak
biliary tree injury
cholecystectomy
Luschka duct
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Summary: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.
ISSN:2673-4095
2673-4095
DOI:10.3390/surgeries5010008