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Richard J. Bold, MD

Arch Surg. 2006;141:695.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Capussotti et al review the incidence of bile leakage complicating liver surgery in 610 patients who underwent a variety of hepatic resections for various indications. They observed a low incidence of this complication (22 [3.6%] of 610 patients), although it was associated with more than doubling the length of hospitalization but was not associated with increased secondary morbidity or mortality. The authors examined a variety of patient, disease, and technical factors associated with the development of this operative complication; resection of segment 4 and the diagnosis of peripheral cholangiocarcinoma were associated with an increased risk of bile leakage, whereas treatment of the cut hepatic surface with fibrin glue was associated with a decreased risk. The authors conducted the study to identify risk factors that could be modified and therefore reduce the incidence of this complication. Unfortunately, 2 of the 3 risk factors (namely, the diagnosis of . . . [Full Text of this Article]

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