The cystohepatic ducts: surgical implications

Champetier, J; Letoublon, C; Alnaasan, I; Charvin, B

doi:10.1007/bf01627988

Cited by 49 publications

(28 citation statements)

References 25 publications

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“…These biliary ducts may persist in certain zones where the liver parenchyma should regress secondarily during development. They should not be confused with the hepatocystic duct, which is considered a variation of the biliary tree (an aberrant duct) in which one or more segments of the liver drain into the gallbladder or cystic duct [6]. In fact, communication of the hepatocystic duct to a right sectoral duct via a subvesical duct of Luschka has been reported [7].…”

Section: Anatomy Of Ducts Of Luschkamentioning

confidence: 98%

Bile leaks from the duct of Luschka (subvesical duct): a review

Spanos

Syrakos

2006

Langenbecks Arch Surg

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Subvesical duct leaks occur after cholecystectomy regardless of gallbladder pathology or urgency of operation. They have been encountered more frequently in the era of laparoscopic cholecystectomy. Intraoperative cholangiography does not detect all such leaks. Staying close to the gallbladder wall during its removal from the fossa is the only known prophylactic measure. ERCP and stent placement are the most common effective diagnostic and therapeutic methods used. Intraoperative and perioperative adjunctive measures, such as fibrin glue instillation and pharmacologic relaxation of the sphincter of Oddi, can potentially be used in lowering the incidence of subvesical bile leaks.

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Section: Anatomy Of Ducts Of Luschkamentioning

confidence: 98%

Bile leaks from the duct of Luschka (subvesical duct): a review

Spanos

Syrakos

2006

Langenbecks Arch Surg

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“…A large series based on operative and cholangiographic findings has demonstrated cystohepatic ducts in 12 of 1410 cases (0.85%) [5]. Only one of the 12 cases involved insertion into the gallbladder (at its neck).…”

Section: Discussionmentioning

confidence: 98%

Cholangiographic demonstration of the cholecystohepatic duct of Luschka

1998

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“…The CHD drains a certain area of the liver and is confl uent with the gallbladder or cystic duct 3,4) . In 1945, Neuhof et al 5) fi rst named this biliary anomaly as CHD, and in 1991 Campetier et al 6) subdivided CHD into three types depending on the area drained: a subsegment or segment, a sector, or the whole of the right lobe of the liver. In the case of confl uence with the cystic duct, it is possible to make a diagnosis of CHD if a helical structure is found on the side of the common bile duct after it merges with the cystic duct 7) .…”

Section: Discussionmentioning

confidence: 99%

Bile leakage after cholecystectomy in a patient with cholecystohepatic duct : a case report

Uemura

Namikawa

Kitagawa

et al. 2018

Ann. Cancer Res. Therap.

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Cholecystohepatic duct (CHD) is a very rare anomaly of the extrahepatic biliary tract. Herein we report on a case of bile leakage after cholecystectomy due to injury to the CHD, the presence of which had not been recognized before surgery. Follow-up computed tomography (CT) of an asymptomatic 63-year-old man 1 year after Roux-en Y reconstruction for advanced gastric cancer revealed a gallbladder mass, and so cholecystectomy was planned. Preoperatively, there was no indication of biliary anomaly by magnetic resonance cholangiopancreatography (MRCP). During surgery, a "string" was visualized between the cystic duct and the bed of the gallbladder. This "string" was ligated without intraoperative cholangiography and the gallbladder was removed. On postoperative day (POD) 5, bile peritonitis developed and percutaneous drainage was performed. Abdominal contrast examinations from the drainage tube enabled visualization of the intrahepatic duct of the posterior segment of the liver. Careful re-examination of preoperative MRCP images showed a confluence between the bile duct and the neck of the gallbladder (i.e. a CHD), which drained the posterior segment of the liver. Although the end of the CHD was blind, the bile leakage improved following percutaneous abdominal drainage alone, without percutaneous transhepatic cholangiodrainage or reoperation. In conclusion, CHD is a very rare biliary anomaly. However, it should be kept in mind during cholecystectomy to avoid serious complications.

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The cystohepatic ducts: surgical implications

Cited by 49 publications

References 25 publications

Bile leaks from the duct of Luschka (subvesical duct): a review

Bile leaks from the duct of Luschka (subvesical duct): a review

Cholangiographic demonstration of the cholecystohepatic duct of Luschka

Bile leakage after cholecystectomy in a patient with cholecystohepatic duct : a case report

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