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Management of bile duct injuries combined with accessory hepatic duct during laparoscopic cholecystectomy

World Journal of Gastroenterology 2014年第34期20卷 12363-12366页

作者： Pei-Tu Ren Bao-Chun Lu Jian-Hua Yu Xin Zhu Department of General Surgery Shaoxing People’s Hospital (Shaoxing Hospital of Zhejiang University)

Bile duct injuries(BDIs)are difficult to avoid absolutely when the biliary tract has a malformation,such as accessory hepatic ***,we investigated the management strategies for BDI combined with accessory hepatic duct ... 详细信息

关键词： Bile duct injuries accessory hepatic duct Laparoscopic cholecystectomy Management strategies Hepatoenterostomy

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Management of aberrant bile duct during laparoscopic cholecystectomy

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Hepatobiliary & Pancreatic Diseases International 2002年第3期1卷 438-441页

作者： Ji-Hui Li Cheng-Zhu Zheng Chong-Wei Ke Kai Yin the Center of Minimal Invasive Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China Center of Minimal Invasive Surgery Changhai Hospital Second Military Medical University Shanghai 200433 China

Objective: To investigate the incidence of aberrant bile duct and its management during laparoscopic cholecystectomy (LC). Methods: In 10 000 patients undergoing laparoscopic cholecystectomy from 1992 to July 2001, 3 had the involvement of the right accessory hepatic duct. In patient 1, the aberrant duct drained into the cystic duct was confirmed by open operation. In patient 2, the aberrant duct, which drained to the common bile duct (CBD), was injured and treated with suture and ligature under laparoscopy. In patient 3, the ab- errant duct, which also drained to the CBD, was confirmed and preserved. Results: All patients recovered well except patient 1 who had a transient elevation of ALT. No bile leak- age or other complication occurred. Conclusions: Only variation near the confluence and the entrance of the cystic duct into the bile duct is discovered during laparoscopic cholecystectomy. Right accessory hepatic duct is common and should be preserved during the operation. The accidentally injured small accessory hepatic duct can be treated with ligature without severe disturbance to liver func- tion.

关键词： aberrant bile duct accessory hepatic duct laparoscopy cholecystectomy

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