scholarly journals Morphometric Analysis of Common Bile Duct: A Cadaveric Study

2021 ◽  
Vol 2 (2) ◽  
pp. 064-068
Author(s):  
SK Sah ◽  
H Pant ◽  
YX Wang
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Reference Range ◽  
Mean Value ◽  
Human Beings ◽  
Biliary Surgery ◽  
Medical College ◽  
Biliary Pathology ◽  
The Common

Introduction: Though human beings look similar in their general anatomical appearances but during the investigation of a particular structure in detail, it is surprising how frequently we meet one sort or another type of variation. Literature reports that accurate dimensions of CBD are debatable. Therefore, determination of a spontaneous abnormality or atypical variation is important and reference range plays a significant role to classify the normal or abnormal duct. Materials and Methods: A total of thirty (30) cadavers were dissected at MGM Medical College Mumbai, India from Jan 2012 to March 2013 for anatomical features of the common bile duct-like their size, variations in the course and termination. Results: The length of the common bile duct varies 35.19 mm to 62.43 mm with Mean ± SD 46.92 ± 7.91 mm and diameter varied between 3.65 mm to 10.31 mm with mean value 6.50 ± 1.77. The correlation between length and diameter of common bile duct is statistically insignificant (p = 0.243) Conclusion: We established a reference range for the CBD length and diameter. Thus, the exact knowledge of the anatomy of the common bile duct is significant for successful hepato-biliary surgery and biliary pathology.

scholarly journals Hem-o-lok Clips Migration: An Easily Neglected Complication after Laparoscopic Biliary Surgery

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Jun-wen Qu ◽  
Gui-yang Wang ◽  
Zhi-qing Yuan ◽  
Ke-wei Li
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Primary Closure ◽  
Stone Formation ◽  
Common Bile Duct Exploration ◽  
Biliary Surgery ◽  
Surgical Clip ◽  
The Common

Clip migration into the common bile duct (CBD) is a rare but well-established phenomenon of laparoscopic biliary surgery. The mechanism and exact incidence of clip migration are both poorly understood. Clip migration into the common bile duct can cause recurrent cholangitis and serve as a nidus for stone formation. We present a case, a 54-year-old woman, of clip-induced cholangitis resulting from surgical clip migration 12 months after laparoscopic cholecystectomy and laparoscopic common bile duct exploration (LC+LCBDE) with primary closure.

scholarly journals Mobilization cholangiography

1981 ◽  
Vol 62 (5) ◽  
pp. 41-42
Author(s):  
O. S. Kochnev ◽  
V. N. Biryaltsev
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Biliary Tract ◽  
The State ◽  
Duodenal Papilla ◽  
Terminal Part ◽  
Surgical Interventions ◽  
Intraoperative Diagnosis ◽  
The Common

Determination of the state of the biliary tract and the terminal part of the common bile duct is one of the most difficult issues of intraoperative diagnosis in complicated cholecystitis. Currently, none of the surgeons doubts the need for intraoperative cholangiography and its value. It is she who allows to identify in many patients the presence of calculi in the biliary tract, to determine the degree of expansion of the common bile duct and bile hypertension, the state of the terminal part of the common bile duct. However, the analysis of radiographs performed during 170 surgical interventions for various degrees of stenosis of the large duodenal papilla showed that even this most reliable method of intraoperative diagnosis has a significant drawback.

scholarly journals Observational Study of Variations in Termination of the Common Bile Duct in Human Cadaver

2015 ◽  
Vol 12 (1) ◽  
pp. 11-13
Author(s):  
Laila Farzana Khan ◽  
Humaira Naushaba ◽  
Jubaida Gulshan Ara
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Pancreatic Duct ◽  
Main Pancreatic Duct ◽  
Distal Portion ◽  
Duodenal Wall ◽  
Common Channel ◽  
Cross Sectional ◽  
Medical College ◽  
The Common

Context: The union of the distal portion of the common bile duct and the main pancreatic duct varies. They together may form short common channel or long common channel or may open separately into the second part of the duodenum. So detailed anatomical knowledge is essential for any surgical or endoscopic treatment of this region. Materials and Methods: A cross sectional descriptive type of study was carried out in the department of Anatomy, Sir Salimullah Medical College on sixty two (62) human cadaveric extra hepatic biliary apparatus with pancreatic duct. The samples were collected from unclaimed dead bodies that were under examination in the department of Forensic Medicine of Dhaka Medical College, Dhaka and Sir Salimullah Medical College, Dhaka. The present study was conducted to observe the variations in termination of common bile duct with main pancreatic duct in human cadavers. Results: The common bile duct was found to unite with main pancreatic duct within the duodenal wall in 61.3% cases and outside the duodenal wall in 38.7% cases. Conclusion: The findings of the present study revealed that the termination of the common bile duct varies from individual to individual. DOI: http://dx.doi.org/10.3329/bja.v12i1.22611 Bangladesh Journal of Anatomy, January 2014, Vol. 12 No. 1 pp 11-13

Comparative study of ultrasonographic findings with the operative findings of biliary surgery

2020 ◽  
Vol 22 (1) ◽  
pp. 25-29
Author(s):  
Zubayer Ahmad ◽  
Mohammad Ali ◽  
Kazi lsrat Jahan ◽  
ABM Khurshid Alam ◽  
G M Morshed
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Imaging Modality ◽  
False Positive Rate ◽  
Gallstone Disease ◽  
False Negative ◽  
False Negative Rate ◽  
Biliary Disease ◽  
Biliary Surgery ◽  
Operative Findings

Background: Biliary disease is one of the most common surgical problems encountered all over the world. Ultrasound is widely accepted for the diagnosis of biliary system disease. However, it is a highly operator dependent imaging modality and its diagnostic success is also influenced by the situation, such as non-fasting, obesity, intestinal gas. Objective: To compare the ultrasonographic findings with the peroperative findings in biliary surgery. Methods: This prospective study was conducted in General Hospital, comilla between the periods of July 2006 to June 2008 among 300 patients with biliary diseases for which operative treatment is planned. Comparison between sonographic findings with operative findings was performed. Results: Right hypochondriac pain and jaundice were two significant symptoms (93% and 15%). Right hypochondriac tenderness, jaundice and palpable gallbladder were most valuable physical findings (respectively, 40%, 15% and 5%). Out of 252 ultrasonically positive gallbladder, stone were confirmed in 249 cases preoperatively. Sensitivity of USG in diagnosis of gallstone disease was 100%. There was, however, 25% false positive rate detection. Specificity was, however, 75% in this case. USG could demonstrate stone in common bile duct in only 12 out of 30 cases. Sensitivity of the test in diagnosing common bile duct stone was 40%, false negative rate 60%. In the series, ultrasonography sensitivity was 100% in diagnosing stone in cystic duct. USG could detect with relatively good but less sensitivity the presence of chronic cholecystitis (92.3%) and worm inside gallbladder (50%). Conclusion: Ultrasonography is the most important investigation in the diagnosis of biliary disease and a useful test for patients undergoing operative management for planning and anticipating technical difficulties. Journal of Surgical Sciences (2018) Vol. 22 (1): 25-29

Cholangioscopy using the SpyGlass System for a Rare Cause of Obstruction: Inflammatory Polyp of the Common Bile Duct

2017 ◽  
Vol 26 (2) ◽  
pp. 111 ◽  
Author(s):  
Theodor Voiosu ◽  
Monica Ionita ◽  
Andrei Voiosu ◽  
Andreea Bengus ◽  
Cristiana Popp ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Inflammatory Polyp ◽  
The Common

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Milk of Calcium in the Common Bile Duct: CT Identification

2002 ◽  
Vol 179 (3) ◽  
pp. 804-805 ◽  
Author(s):  
Joseph P. Mazzie ◽  
Burton M. Gold ◽  
Robert Bartolomeo ◽  
Douglas S. Katz
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Milk Of Calcium ◽  
The Common
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