Biliary leakage from gallbladder bed after cholecystectomy: Luschka duct or hepaticocholecystic duct?

Doumenc, Benoît; Boutros, Marylise; Degremont, R.; Bouras, Ahmed Fouad

doi:10.1016/j.morpho.2015.08.003

Cited by 10 publications

(11 citation statements)

References 15 publications

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“…Indeed, because of their size, these unusual bile ducts might go unnoticed and they may get injured [9] , [10] . Thus, subvesical bile ducts have a great clinical significance for surgeons in the right upper abdominal quadrant since they are barely detected preoperatively [5] and they might be injured during hepatobiliary and gallbladder operations [1] .…”

Section: Discussionmentioning

confidence: 99%

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Aberrant subvesical bile ducts identified during laparoscopic cholecystectomy: A rare case report and review of the literature

Mariolis‐Sapsakos

Zarokosta

Zoulamoglou

et al. 2017

International Journal of Surgery Case Reports

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HighlightsAberrant subvesical bile ducts are a rare anatomical variation defined as a network of bile ducts located in the peri-hepatic tissue of the gallbladder fossa.Their injury is almost inevitable and it leads to bile leakage, which is a life-threatening complication of laparoscopic cholecystectomy.Meticulous operative technique and detailed exposure of the operative field is the cornerstone of a safe laparoscopic cholecystectomy, when surgeons encounter this rare anatomical variation.

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Section: Discussionmentioning

confidence: 99%

“…Aberrant subvesical bile ducts are extremely rare and they might be unnoticed during hepato-biliary operations [9] . Unfortunately, their injury is barely inevitable and it provokes bile leakage, which is a life-threatening complication of laparoscopic cholecystectomy [6] .…”

Section: Discussionmentioning

confidence: 99%

Aberrant subvesical bile ducts identified during laparoscopic cholecystectomy: A rare case report and review of the literature

Mariolis‐Sapsakos

Zarokosta

Zoulamoglou

et al. 2017

International Journal of Surgery Case Reports

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“…[1–6]. Furthermore, another type of variation of the biliary tree is the presence of hepaticocholecystic ducts and Luschka ducts, which connect intrahepatic ducts to the gallbaladder or its fossa [6, 7]. In our case, the RPSD joined the RASD to form the RHD, which in turn joined the LHD to form the CHD, as it is common [4, 5], but there was also an aberrant bile duct which connected the RPSD with the cystic duct.…”

Section: Discussionmentioning

confidence: 99%

A rare anatomical variation of the biliary tree

Kostakis

Feretis

Stamopoulos

et al. 2017

Journal of Surgical Case Reports

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A 31-year-old woman was admitted to our department in order to undergo a laparoscopic cholecystectomy. The operation was converted to open due to cholorrhea during the dissection in the hepatocystic triangle. The cholorrhea came from a transected bile duct, which was 2 mm in diameter, came out of the hepatoduodenal ligament, ran along the common hepatic duct and drained into the cystic duct, in proximity to the neck of the gallbladder. The gallbladder was removed and an intraoperative cholangiography revealed that the aberrant bile duct was originated from the right posterior sectoral duct (RPSD). The RPSD continued its typical course up to its confluence with the right anterior sectoral duct and the formation of the right hepatic duct. This is a rare type of aberrant bile duct, which is added to the long catalogue of the anatomical variations of the biliary tree.

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“…Laparoscopic cholecystectomy is currently regarded as the standard surgical treatment for cholecystitis and cholecystolithiasis. Bile duct injury continues to be a serious complication of laparoscopic cholecystectomy [1] and occasionally stems from the presence of unrecognized variants of the anatomical biliary tree [2, 3]. Anatomical variants of the biliary tree include aberrant right hepatic duct (ARHD), which has an incidence of approximately 5% (1.02–35%) [4].…”

Section: Introductionmentioning

confidence: 99%

Successful management of aberrant right hepatic duct during laparoscopic cholecystectomy: a rare case report

et al. 2019

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Background Anatomic variants of the biliary tree present challenges to surgical management during laparoscopic cholecystectomy and affect perioperative outcomes. An aberrant right hepatic duct connecting into the cystic duct is a practically important variation because of the susceptibility to serious postoperative refractory bile leakage. We report a successful case of laparoscopic cholecystectomy in the aberrant right hepatic duct of a patient diagnosed with chronic cystitis. Case presentation A 49-year-old man was referred to our department for treatment of chronic cholecystitis. Magnetic resonance cholangiopancreatography indicated that the cystic duct branched from the common bile duct and an aberrant bile duct connected to the cystic duct. Intraoperative cholangiography revealed that the bile duct was not confluent to the major right branch of the intrahepatic bile duct and drained a narrow area. Preoperative magnetic resonance cholangiopancreatography had diagnostic value. Furthermore, intraoperative cholangiography with the Critical View of Safety method was paramount to achieving safe cholecystectomy based on confirmation of the biliary anatomy and the drainage area of the aberrant right hepatic duct. Conclusion We encountered a rare but clinically significant case of laparoscopic cholecystectomy. This case suggests that precise understanding of the anatomy and drainage area of the aberrant right hepatic duct preoperatively and intraoperatively can lead to safe cholecystectomy. Electronic supplementary material The online version of this article (10.1186/s40792-019-0632-7) contains supplementary material, which is available to authorized users.

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Biliary leakage from gallbladder bed after cholecystectomy: Luschka duct or hepaticocholecystic duct?

Cited by 10 publications

References 15 publications

Aberrant subvesical bile ducts identified during laparoscopic cholecystectomy: A rare case report and review of the literature

Aberrant subvesical bile ducts identified during laparoscopic cholecystectomy: A rare case report and review of the literature

A rare anatomical variation of the biliary tree

Successful management of aberrant right hepatic duct during laparoscopic cholecystectomy: a rare case report

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