Postoperative follow-up of LLDs with Hepaticojejunostomy
A surgical drain is inserted to the perihepatic or perianastomotic site and these drainage tubes were withdrawn postoperatively when drainage is not bilious and the output volume is < 50 mL/day. PTBD catheters are irrigated at least once each day with 5-10 cc saline solution. A cholangiography is performed between on postoperative 5th to 7th days and LLDs without clinical, laboratory and radiological findings of bile leaks are discharged. Another cholangiography is performed on postoperative fourth and sixth weeks and catheters are withdrawn in LLDs without any biliary leaks.