Management of postcholecystectomy biliary leakage: Five-year experience of a tertiary centre in Northeast India

Background: Bile leakage is a well-known serious complication of treatment of gallstones and other procedures on the bile duct. They are important because they are preventable; however, once they occur, they may be associated with considerable morbidity and mortality. This study intends help to get a differentiated point of view of treating bile leak. Materials and Methods: This was a prospective study. All bile leak cases admitted between August 1, 2015, and July 31, 2020, were examined and the results were noted. Results: A total of 1485 cholecystectomies were done in the given period. Chronic cholecystitis was the most common indication for surgery. Most leaks were treated conservatively. Conclusions: Most common site of bile leak was found to be gall bladder bed, duct of Luschka, and other minor bile ducts. Most of the postoperative bile leaks were managed conservatively and by endoscopic procedures, rarely requiring re-operation.