Home Current issue Ahead of print Search About us Editorial board Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2018  |  Volume : 37  |  Issue : 4  |  Page : 595-599

White test versus conventional saline test in detecting intraoperative bile leakage in liver resection


General Surgery Department, Ain Shams University Hospitals, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Correspondence Address:
Mohamed Aboul Naga
Department of General Surgery, Ain Shams University, Cairo
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ejs.ejs_103_18

Rights and Permissions

Background Intraoperative bile leakage testing is an important procedure in liver resection as it helps in detection of bile leaking points on the cut surface, thereby decreases postoperative bile leakage, which is one of the most dreadful complications following liver surgery. In this study, we tried to assess the efficacy of using White test in comparison with conventional saline test in detecting intraoperative bile leakage. Patients and methods In this study, we assessed whether the White test is better than the conventional saline test for the intraoperative detection of bile leakage in patients undergoing liver resection. This study included 100 patients who underwent elective liver resection. The conventional saline test (injecting an isotonic sodium chloride solution through the cystic duct) was carried out in 50 patients and the White test (injecting a fat emulsion solution through the cystic duct) was carried out in 50 patients. Results Incidence of postoperative bile leakage was compared between the conventional method and the White test. Bile leakage occurred in 22 (44%) patients in the conventional method group and in four (8%) patients in the White test group. In addition, the White test detected intraoperatively a significantly higher number of bile leakage sites compared with the conventional method. Therefore, the White test seems to be better than the conventional test for the intraoperative detection of bile leakage. Conclusion Based on our study, we recommend that surgeons investigating bile leakage sites during liver resections should use the White test instead of the conventional saline test.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed37    
    Printed0    
    Emailed0    
    PDF Downloaded10    
    Comments [Add]    

Recommend this journal