Prevention of bile duct injury in an aberrant right hepatic duct during laparoscopic cholecystectomy: A case report and literature review
Cystic duct (CD) variation is challenging for surgeons performing biliary surgery. The misunderstanding of CD variants can lead to iatrogenic bile duct injuries (BDIs). We describe a 65-year-old man who presented with a 10-day history of abdominal pain and intermittent fever. He was admitted with th...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2018-01-01
|
| Series: | Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2018;volume=38;issue=1;spage=42;epage=45;aulast=Su |
| _version_ | 1811321180762669056 |
|---|---|
| author | Zhi-Wei Su Guo-Xiu Liao |
| author_facet | Zhi-Wei Su Guo-Xiu Liao |
| author_sort | Zhi-Wei Su |
| collection | DOAJ |
| description | Cystic duct (CD) variation is challenging for surgeons performing biliary surgery. The misunderstanding of CD variants can lead to iatrogenic bile duct injuries (BDIs). We describe a 65-year-old man who presented with a 10-day history of abdominal pain and intermittent fever. He was admitted with the diagnosis of acute cholecystitis and underwent laparoscopic cholecystectomy during hospitalization. Intraoperatively, we found that the CD drained into the right hepatic duct rather than directly through the common bile duct, which is a very rare anatomic variation. This unusual case emphasizes the importance of recognizing this CD variation to avoid iatrogenic BDIs. This is particularly valuable for less experienced surgeons. |
| first_indexed | 2024-04-13T13:12:22Z |
| format | Article |
| id | doaj.art-e5ed2c6325774b918d808ccb14d324c9 |
| institution | Directory Open Access Journal |
| issn | 1011-4564 |
| language | English |
| last_indexed | 2024-04-13T13:12:22Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Medical Sciences |
| spelling | doaj.art-e5ed2c6325774b918d808ccb14d324c92022-12-22T02:45:35ZengWolters Kluwer Medknow PublicationsJournal of Medical Sciences1011-45642018-01-01381424510.4103/jmedsci.jmedsci_124_17Prevention of bile duct injury in an aberrant right hepatic duct during laparoscopic cholecystectomy: A case report and literature reviewZhi-Wei SuGuo-Xiu LiaoCystic duct (CD) variation is challenging for surgeons performing biliary surgery. The misunderstanding of CD variants can lead to iatrogenic bile duct injuries (BDIs). We describe a 65-year-old man who presented with a 10-day history of abdominal pain and intermittent fever. He was admitted with the diagnosis of acute cholecystitis and underwent laparoscopic cholecystectomy during hospitalization. Intraoperatively, we found that the CD drained into the right hepatic duct rather than directly through the common bile duct, which is a very rare anatomic variation. This unusual case emphasizes the importance of recognizing this CD variation to avoid iatrogenic BDIs. This is particularly valuable for less experienced surgeons.http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2018;volume=38;issue=1;spage=42;epage=45;aulast=SuCystic duct variationfundus first approachcritical view of safetyintraoperative cholangiography |
| spellingShingle | Zhi-Wei Su Guo-Xiu Liao Prevention of bile duct injury in an aberrant right hepatic duct during laparoscopic cholecystectomy: A case report and literature review Journal of Medical Sciences Cystic duct variation fundus first approach critical view of safety intraoperative cholangiography |
| title | Prevention of bile duct injury in an aberrant right hepatic duct during laparoscopic cholecystectomy: A case report and literature review |
| title_full | Prevention of bile duct injury in an aberrant right hepatic duct during laparoscopic cholecystectomy: A case report and literature review |
| title_fullStr | Prevention of bile duct injury in an aberrant right hepatic duct during laparoscopic cholecystectomy: A case report and literature review |
| title_full_unstemmed | Prevention of bile duct injury in an aberrant right hepatic duct during laparoscopic cholecystectomy: A case report and literature review |
| title_short | Prevention of bile duct injury in an aberrant right hepatic duct during laparoscopic cholecystectomy: A case report and literature review |
| title_sort | prevention of bile duct injury in an aberrant right hepatic duct during laparoscopic cholecystectomy a case report and literature review |
| topic | Cystic duct variation fundus first approach critical view of safety intraoperative cholangiography |
| url | http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2018;volume=38;issue=1;spage=42;epage=45;aulast=Su |
| work_keys_str_mv | AT zhiweisu preventionofbileductinjuryinanaberrantrighthepaticductduringlaparoscopiccholecystectomyacasereportandliteraturereview AT guoxiuliao preventionofbileductinjuryinanaberrantrighthepaticductduringlaparoscopiccholecystectomyacasereportandliteraturereview |