Aberrant hepatovesical bile ducts (Luschka), identified during laparoscopic cholecystectomy. Presentation of 10 cases.
EAES Academy. Koulas S. 07/05/22; 363031; P075
Dr. Spyridon Koulas
Contributions
Contributions
Abstract
Background:
Anatomic abnormalities of the biliary tree still present challenges during laparoscopic cholecystectomy and affect perioperative and mainly postoperative outcomes. We report a successful outcome of 10 consecutive patients whom presented with an aberrant biliary duct (Luschka duct).
AIM: The aim of this study is the need for investigation of the anatomic variations, not only in the Calot’s triangle but also in the gallbladder fosa in order to achieve an effective and safe guidance for laparoscopic surgeons.
Method:
One thousand eight hundred patients, treated with laparoscopic cholecystectomy from January 2013 to December 2018, were studied retrospectively. Laparoscope of 30 degrees (WOLF, Germany) was applied to all cases. A standard technique of Redding and Olsen was performed in all cases. Anatomic structures of cystic duct and cystic artery and conditions of Calot’s triangle, were also recorded.
Results:
Laparoscopy has revealed that there are many anatomic variation of cystic artery and cystic duct that occur frequently. Based on our experience, we present ten consecutive cases out of 1.800 laparoscopic cholecystectomies (1,8%) in whom was revealed an abnormal biliary duct, except the cystic duct. All of them were found in the gallbladder fosa originated from the hepatic parenchyma. All ducts were clipped and divided. No leakage was observed to any patient. All patients were discharged the first postoperative day with no complications.
Conclusion:
We encountered a rare but clinically significant case of aberrant biliary ducts found during laparoscopic cholecystectomy. That suggests precise understanding of the anatomy of Calot’s triangle but mainly the knowledge of the aberrant biliary ducts in the hepatic fosa, can lead to a safe cholecystectomy. Preoperative MRCP may have a diagnostic value.
KEYWORDS: Aberrant biliary duct, laparoscopic cholecystectomy
Oyana K, Nakahira S, Ogawa H et al. Successful management of aberrant right hepatic duct during laparoscopic cholecystectomy: a rare case report. Surg Case Rep. 2019 May 9; 5(1):74
Anatomic abnormalities of the biliary tree still present challenges during laparoscopic cholecystectomy and affect perioperative and mainly postoperative outcomes. We report a successful outcome of 10 consecutive patients whom presented with an aberrant biliary duct (Luschka duct).
AIM: The aim of this study is the need for investigation of the anatomic variations, not only in the Calot’s triangle but also in the gallbladder fosa in order to achieve an effective and safe guidance for laparoscopic surgeons.
Method:
One thousand eight hundred patients, treated with laparoscopic cholecystectomy from January 2013 to December 2018, were studied retrospectively. Laparoscope of 30 degrees (WOLF, Germany) was applied to all cases. A standard technique of Redding and Olsen was performed in all cases. Anatomic structures of cystic duct and cystic artery and conditions of Calot’s triangle, were also recorded.
Results:
Laparoscopy has revealed that there are many anatomic variation of cystic artery and cystic duct that occur frequently. Based on our experience, we present ten consecutive cases out of 1.800 laparoscopic cholecystectomies (1,8%) in whom was revealed an abnormal biliary duct, except the cystic duct. All of them were found in the gallbladder fosa originated from the hepatic parenchyma. All ducts were clipped and divided. No leakage was observed to any patient. All patients were discharged the first postoperative day with no complications.
Conclusion:
We encountered a rare but clinically significant case of aberrant biliary ducts found during laparoscopic cholecystectomy. That suggests precise understanding of the anatomy of Calot’s triangle but mainly the knowledge of the aberrant biliary ducts in the hepatic fosa, can lead to a safe cholecystectomy. Preoperative MRCP may have a diagnostic value.
KEYWORDS: Aberrant biliary duct, laparoscopic cholecystectomy
Oyana K, Nakahira S, Ogawa H et al. Successful management of aberrant right hepatic duct during laparoscopic cholecystectomy: a rare case report. Surg Case Rep. 2019 May 9; 5(1):74
Background:
Anatomic abnormalities of the biliary tree still present challenges during laparoscopic cholecystectomy and affect perioperative and mainly postoperative outcomes. We report a successful outcome of 10 consecutive patients whom presented with an aberrant biliary duct (Luschka duct).
AIM: The aim of this study is the need for investigation of the anatomic variations, not only in the Calot’s triangle but also in the gallbladder fosa in order to achieve an effective and safe guidance for laparoscopic surgeons.
Method:
One thousand eight hundred patients, treated with laparoscopic cholecystectomy from January 2013 to December 2018, were studied retrospectively. Laparoscope of 30 degrees (WOLF, Germany) was applied to all cases. A standard technique of Redding and Olsen was performed in all cases. Anatomic structures of cystic duct and cystic artery and conditions of Calot’s triangle, were also recorded.
Results:
Laparoscopy has revealed that there are many anatomic variation of cystic artery and cystic duct that occur frequently. Based on our experience, we present ten consecutive cases out of 1.800 laparoscopic cholecystectomies (1,8%) in whom was revealed an abnormal biliary duct, except the cystic duct. All of them were found in the gallbladder fosa originated from the hepatic parenchyma. All ducts were clipped and divided. No leakage was observed to any patient. All patients were discharged the first postoperative day with no complications.
Conclusion:
We encountered a rare but clinically significant case of aberrant biliary ducts found during laparoscopic cholecystectomy. That suggests precise understanding of the anatomy of Calot’s triangle but mainly the knowledge of the aberrant biliary ducts in the hepatic fosa, can lead to a safe cholecystectomy. Preoperative MRCP may have a diagnostic value.
KEYWORDS: Aberrant biliary duct, laparoscopic cholecystectomy
Oyana K, Nakahira S, Ogawa H et al. Successful management of aberrant right hepatic duct during laparoscopic cholecystectomy: a rare case report. Surg Case Rep. 2019 May 9; 5(1):74
Anatomic abnormalities of the biliary tree still present challenges during laparoscopic cholecystectomy and affect perioperative and mainly postoperative outcomes. We report a successful outcome of 10 consecutive patients whom presented with an aberrant biliary duct (Luschka duct).
AIM: The aim of this study is the need for investigation of the anatomic variations, not only in the Calot’s triangle but also in the gallbladder fosa in order to achieve an effective and safe guidance for laparoscopic surgeons.
Method:
One thousand eight hundred patients, treated with laparoscopic cholecystectomy from January 2013 to December 2018, were studied retrospectively. Laparoscope of 30 degrees (WOLF, Germany) was applied to all cases. A standard technique of Redding and Olsen was performed in all cases. Anatomic structures of cystic duct and cystic artery and conditions of Calot’s triangle, were also recorded.
Results:
Laparoscopy has revealed that there are many anatomic variation of cystic artery and cystic duct that occur frequently. Based on our experience, we present ten consecutive cases out of 1.800 laparoscopic cholecystectomies (1,8%) in whom was revealed an abnormal biliary duct, except the cystic duct. All of them were found in the gallbladder fosa originated from the hepatic parenchyma. All ducts were clipped and divided. No leakage was observed to any patient. All patients were discharged the first postoperative day with no complications.
Conclusion:
We encountered a rare but clinically significant case of aberrant biliary ducts found during laparoscopic cholecystectomy. That suggests precise understanding of the anatomy of Calot’s triangle but mainly the knowledge of the aberrant biliary ducts in the hepatic fosa, can lead to a safe cholecystectomy. Preoperative MRCP may have a diagnostic value.
KEYWORDS: Aberrant biliary duct, laparoscopic cholecystectomy
Oyana K, Nakahira S, Ogawa H et al. Successful management of aberrant right hepatic duct during laparoscopic cholecystectomy: a rare case report. Surg Case Rep. 2019 May 9; 5(1):74
{{ help_message }}
{{filter}}