This study examines the effectiveness of different biliary stents for treating bile leaks post-fenestrated cholecystectomy, revealing significant implications for patient management.

• PCBL resolution rates were similar across stent types: 93.8% for 10 fr stents, 92.3% for 7 fr stents, and 88.9% for fully covered self-expanding metal stents.
• Plastic stents, including single and double pigtail options, showed comparable effectiveness, with resolution rates over 91%.

Surgeons can confidently use plastic stents, which are more cost-effective, without compromising patient outcomes.