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Omental patch as prevention for bile leak in patients undergoing subtotal cholecystectomy: a propensity score analysis

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dc.creatorIsaza Restrepo, Andrésspa
dc.creatorDíaz‑Castrillón, Juan Felipespa
dc.creatorVan‑Londoño, Isabellaspa
dc.creatorGonzález‑Muñoz, Alejandrospa
dc.creatorAvendaño‑Morales, Violetaspa
dc.creatorRamirez Giraldo, Camilospa
dc.date.accessioned2025-07-21T16:50:49Z
dc.date.available2025-07-21T16:50:49Z
dc.date.created2025-02-11spa
dc.date.issued2025-02-11spa
dc.description.abstractSubtotal cholecystectomy is one of the most frequent bail-out procedures performed during difcult cholecystectomy. A common complication to this procedure is bile leak, and thus multiple strategies have been created to avoid its appearance. This study aims to evaluate the efectivity of using an omental patch as bile leak prevention in patients undergoing subtotal cholecystectomy. A retrospective cohort study including patients who underwent subtotal cholecystectomy between 2014 and 2022 was performed. 17 patients had an omental patch, while 378 did not; the latter were included to evaluate surgical outcomes with bile leak as a primary outcome using a propensity score matching analysis (PSM). Patients’ median age in both groups after PSM was 71.00 (IQR: 59.00–81.00) and 69.00 (IQR: 61.75–80.25) years, respectively. The dominant sex in both groups was male. In most cases surgical procedure indication was cholecystitis. Patients who had an omental patch did not present statistically signifcant diferences for bile leak rates compared to patients who did not (29.4% versus 17.6%, p=0.456, respectively). Similar results were observed when evaluating the need for postoperative ERCP for bile leak management (23.5 versus 5.9%, p=0.078). A statistically signifcant higher proportion of major complications were observed in patients who had an omental patch (47.1% versus 19.1%, p=0.038). Pedicled omental patch was not an efective measure for preventing bile leak, and it even presented a higher rate of complications. It is thus imperative to continue evaluating other strategies for the prevention of bile leak during subtotal cholecystectomy.eng
dc.format.mimetypeapplication/pdfspa
dc.identifier.doihttps://doi.org/10.1007/s13304-025-02129-wspa
dc.identifier.issn2038-131Xspa
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/46095
dc.language.isoengspa
dc.publisherSpringer Nature Linkspa
dc.relation.ispartofUpdates in Surgery (2025) 77:501–509spa
dc.relation.urihttps://link.springer.com/article/10.1007/s13304-025-02129-wspa
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationalspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccessspa
dc.rights.accesoAbierto (Texto Completo)spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/spa
dc.sourceUpdates in Surgeryspa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordCholecystectomyeng
dc.subject.keywordSubtotal cholecystectomyeng
dc.subject.keywordLaparoscopiceng
dc.subject.keywordCholecystitiseng
dc.subject.keywordBile leakeng
dc.titleOmental patch as prevention for bile leak in patients undergoing subtotal cholecystectomy: a propensity score analysisspa
dc.typearticlespa
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersionspa
dc.type.spaArtículo de Investigaciónspa
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