ASGE DDW Videos from Around the World | 2025-TREATMENT OF REFRACTORY CYSTIC DUCT STUMP LEAKS WITH VASCULAR COILS

TREATMENT OF REFRACTORY CYSTIC DUCT STUMP LEAKS WITH VASCULAR COILS

Video Transcription

Video Summary

The video discusses laparoscopic cholecystectomy complications, particularly bile leaks, which generally occur in 0.4 to 2% of cases. Traditional treatments include biliary stent placement, but 9% may be refractory to this method. The video presents cases of refractory bile leaks treated using endovascular coils instead. Two cases are detailed: an 83-year-old female and a 58-year-old male, both with bile leaks unmanageable with plastic or metal stents. Vascular coils proved successful, reducing drainage output and resolving leaks effectively, demonstrating a viable alternative for cases of chronic or complex bile leaks.

Asset Subtitle

Video Plenary Session II
Prashanth Rau

Keywords

laparoscopic cholecystectomy

bile leaks

endovascular coils

refractory treatment

biliary stent