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and these drainage tubes were withdrawn postoperatively when drainage is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postoperative fourth and sixth weeks and catheters are withdrawn in LLDs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.