Sanford School of Medicine Affiliation
Transplantation and Surgery
Medicine and Health Sciences | Surgery
Aged, Bile Ducts, Cholangiography, Cholangiopancreatography, Endoscopic Retrograde, Cholecystectomy, Laparoscopic, Follow-Up Studies, Hepatic Duct, Common, Humans, Iatrogenic Disease, Incidence, Intraoperative Complications, Laparotomy, Middle Aged, Reoperation, Risk Assessment
Although laparoscopic cholecystectomy (LC) has been widely accepted as the standard of care, it continues to have a higher complication rate than open cholecystectomy. Bile duct injury with LC has often been attributed to surgical inexperience, but it is also clear that aberrant bile ducts are present in a significant number of patients who sustain biliary injuries during these procedures. We present three cases of right sectoral hepatic duct injuries which occurred during LC and provide a discussion of the conditions which are likely to lead to these injuries, as part of a strategy to prevent them.
HPB Surgery : A World Journal of Hepatic, Pancreatic and Biliary Surgery
MeSH Headings (Medical Subject Headings)
Aged; Bile Ducts; Cholangiography; Cholangiopancreatography, Endoscopic Retrograde; Cholecystectomy, Laparoscopic; Follow-Up Studies; Hepatic Duct, Common; Humans; Iatrogenic Disease; Incidence; Intraoperative Complications; Laparotomy; Middle Aged; Reoperation; Risk Assessment
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Babel, Nitin; Sakpal, Sujit Vijay; Paragi, Prakash; Wellen, Jason; Feldman, Stephen; and Chamberlain, Ronald Scott, "Iatrogenic Bile Duct Injury Associated with Anomalies of the Right Hepatic Sectoral Ducts: A Misunderstood and Underappreciated Problem" (2009). Department of Surgery. 6.