Postoperative Biliary Fistula Prevention After Hepatectomy

After performing the hepatectomy and verification of hemostasis, patients were randomized (external biliary duct stent or not) by sealed envelopes. Systematic intraoperative test with methylene blue or air by the external biliary duct stent (EBDS) will necessary for all patients. Intra-abdominal drainage or not and type will be at the discretion of the surgeon. The EBDS will be left open for the first 7 postoperative days and then clamped. The EBDS will be removed during a consultation 5 weeks after surgery. Both groups of patients will be reviewed at 3 months after surgery, it will be noted at this point the possible complications related to the presence of EBDS (leakage from the drain, drop..). If patients are hospitalized more than five weeks, the study will stop at their consultation three months or the day of the consultation where the DTC is removed if it is still present at 3 months.

Inclusion criteria

• Subject has given his informed consent and signed consent
• Hepatectomy at least 2 segments of liver parenchyma for a benign or malignant disease by laparotomy
• Not cirrhotic liver

Exclusion criteria

• Surgery made in emergency
• Surgery by laparoscopy
• Need to draw up a bilic-digestive anastomosis
• Liver cirrhosis
• History of cholecystectomy
• Resection of less than 2 segments
• Preoperative jaundice (total bilirubin> 30 micromol / l)
• Presence of preoperative biliary drainage
• Patients requiring the installation of a drain transcystic during the operation