scholarly journals A Communicating Accessory Bile Duct Preserved with Intra-operative Cholangiography during Laparoscopic Cholecystectomy—A Case Report—

2014 ◽  
Vol 75 (8) ◽  
pp. 2293-2299 ◽  
Author(s):  
Takehiko HANAKI ◽  
Teruhisa SAKAMOTO ◽  
Joji WATANABE ◽  
Naruo TOKUYASU ◽  
Soichiro HONJO ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Case Report ◽  
Bile Duct ◽  
Operative Cholangiography ◽  
Accessory Bile Duct

scholarly journals P-BN59 Danger is there, do we want to know about it? Routine intra operative cholangiography highlights dangerous biliary anatomy for safer cholecystectomy

2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
Noor Ul ain ◽  
Saira Bibi ◽  
Ian Tait ◽  
Samer Zino
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Bile Duct Injury ◽  
Cystic Duct ◽  
Filling Defect ◽  
Single Session ◽  
Biliary Anatomy ◽  
Operative Cholangiography ◽  
Transcystic Approach ◽  
Contrast Flow

Abstract Background Normal biliary anatomy is uncommon. Different classification for biliary anatomy has been described, with Huang Types A4 & A5 of great interest for laparoscopic cholecystectomy (LC) due to the proximity of aberrant bile duct to Cystic duct (CD). These types of dangerous anatomy might contribute to bile duct injury. This study aims to analyse the prevalence of dangerous biliary anatomy. Methods Prospectively collected data for all patients who underwent laparoscopic cholecystectomy was analysed. All LC were performed by single surgeon or under  his direct supervision, between 01/07/2020 and 20/08/2021. Index admission and single session management of cholelithiasis disease with routine Laparoscopic cholecystectomy + intra operative cholangiography (IOC) +/- LCBD exploration were standard practice. Results Laparoscopic cholecystectomy was performed in 137 patients. Mean age was 56y (17-84).  62% were females.   66% of Laparoscopic cholecystectomies were emergency. IOC was performed in 92% of cases. Abnormal biliary anatomy was found in 54% : Huang A1 - 48%, A2 - 29%, A3 - 12%, A4 - 9.7% and A5 - 0.7%. Dangerous anatomy (A4 and A5) was found in 10.5%, 78 % were females.  Female with dangerous anatomy were younger than males 49 y, 60y respectively. Nassar difficulty grading for dangerous anatomy was as follows: G2 28%, G3 42% and G3 28% Abnormal cholangiogram was found in 48%, due to filling defect in 58%, no contrast flow into duodenum in 4%, Cystic duct stone in 4%, and short CD in 8%. CBD stones were treated using transcystic approach in 92% of cases. No intra-operative or post operative complications were recorded for patients with dangerous anatomy.  Conclusions This study demonstrates that dangerous biliary anatomy, that could lead to bile duct injury is relatively common, occurring in 10.7% of LCs. Routine intra-operative cholangiography highlights these high-risk variations in biliary anatomy and may prevent inadvertent bile duct injury in such cases.

scholarly journals Duplication of the Gallbladder. A Case Report

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
G. Desolneux ◽  
S. Mucci ◽  
J. Lebigot ◽  
J. P. Arnaud ◽  
A. Hamy
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Case Report ◽  
Bile Duct ◽  
Imaging Study ◽  
Anatomical Variations ◽  
Preoperative Imaging ◽  
Common Bile Duct Injury ◽  
Increased Risk ◽  
Preoperative Imaging Study ◽  
Gallbladder Duplication

Gallbladder duplication is a rare anatomic malformation, which can now be detected by preoperative imaging study. We report a case of a symptomatic duplicated gallbladder, successfully treated by laparoscopic cholecystectomy. This anomaly is important to know for surgeons because of associated anatomical variations of main bile duct and hepatic artery and increased risk of common bile duct injury.

Case report. Bile duct injury following laparoscopic cholecystectomy

1992 ◽  
Vol 79 (3) ◽  
pp. 231-232 ◽  
Author(s):  
S. Cheslyn-Curtis ◽  
M. Emberton ◽  
H. Ahmed ◽  
R. C. N. Williamson ◽  
N. A. Habib
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Case Report ◽  
Bile Duct ◽  
Bile Duct Injury

scholarly journals Mirizzy syndrome complicated by acute cholangitis in pregnant

2020 ◽  
Vol 25 (1) ◽  
pp. 124-128
Author(s):  
A. V. Osipov ◽  
A. E. Demko ◽  
D. A. Surov ◽  
I. A. Soloviev ◽  
A. V. Sviatnenko ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Case Report ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Surgical Procedure ◽  
Biliary Obstruction ◽  
Acute Cholangitis ◽  
The Common

A case report of the patient at week 21 of pregnancy with Mirizzi type 2 syndrome complicated by acute cholangitis is described. During the examination, the level and cause of the biliary obstruction (cholecystocholedocheal fistula and gallstone of the common bile duct) were revealed. A detailed description of the surgical procedure is presented: subtotal laparoscopic cholecystectomy, choledochotomy, choledochoscopy, lithoextraction, drainage of the common bile duct. The analysis of information from literature sources is carried out.

scholarly journals A CASE OF COMMUNICATING ACCESSORY BILE DUCT PRESENTED WITH BILIARY INJURY AFTER LAPAROSCOPIC CHOLECYSTECTOMY

2011 ◽  
Vol 72 (9) ◽  
pp. 2348-2353 ◽  
Author(s):  
Yasuo HAYASHIDANI ◽  
Yoshiaki MURAKAMI ◽  
Kennichiro UEMURA ◽  
Takeshi SUDO ◽  
Taijiro SUEDA
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Biliary Injury ◽  
Accessory Bile Duct
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