RARE BILE-DUCT ANOMALIES - A CASE-REPORT AND IMPLICATIONS FOR LAPAROSCOPIC CHOLECYSTECTOMY

被引:16
作者
BRANDT, CP
ECKHAUSER, ML
机构
[1] Department of Surgery, MetroHealth Medical Center, Case Western Reserve University, Cleveland, 44109, Ohio
来源
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1994年 / 8卷 / 04期
关键词
BILIARY ANOMALIES; LAPAROSCOPIC CHOLECYSTECTOMY;
D O I
10.1007/BF00590964
中图分类号
R61 [外科手术学];
学科分类号
摘要
Anomalies of the biliary ductal system are not uncommon, and are of variable clinical significance. A case is reported of an extremely unusual variation, with the cystic duct entering the left hepatic duct. Preoperative delineation of the anomaly in this patient by endoscopic retrograde cholangiography assisted in the subsequent performance of a safe laparoscopic cholecystectomy. Awareness of potential biliary variations is one factor in avoidance of ductal injuries during laparoscopic surgery.
引用
收藏
页码:329 / 331
页数:3
相关论文
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  • [1] Berci G., Biliary ductal anatomy and anomalies. The role of intraoperative cholangiography during laparocsopic cholecystectomy, Surg Clin North Am, 72, pp. 1069-1075, (1992)
  • [2] Charels K., Kloppel G., The bile duct system and its anatomical variations, Endoscopy, 21, pp. 300-307, (1989)
  • [3] Goor D.A., Ebert P.A., Anomalies of the biliary tree. Report of a repair of an accessory bile duct and review of the literature, Arch Surg, 104, pp. 302-309, (1972)
  • [4] Hayes M.A., Goldenberg I.S., Bishop C.C., The developmental basis for bile duct anomalies, Surg Gynecol Obstet, 107, pp. 447-456, (1958)
  • [5] Klotz H.P., Schlumpf R., Largiader F., Injury to an accessory bile duct during laparoscopic cholecystectomy, Surg Laparosc Endosc, 2, pp. 317-320, (1992)
  • [6] Moosman D.A., The surgical significance of six anomalies of the biliary duct system, Surg Gynec Obstet, 131, pp. 655-660, (1970)
  • [7] Moosman D.A., Coller F.A., Prevention of traumatic injury to the bile ducts, Am J Surg, 82, pp. 132-143, (1951)
  • [8] Quinn S.F., Sangster W., Standage B., Schuman E., Gross G., Biliary complications related to laparoscopic cholecystectomies: radiologic diagnosis and management, Surg Laparosc Endosc, 2, pp. 279-286, (1992)
  • [9] Willia C., Willia A.M., Abnormalities of the bile ducts, Ann Surg, 141, pp. 598-605, (1955)