Iatrogenic Bile Duct Injury Associated with Anomalies of the Right Hepatic Sectoral Ducts: A Misunderstood and Underappreciated Problem. (4th June 2009)

• Record Type: Journal Article
• Authors: Babel, Nitin; Sakpal, Sujit V.; Paragi, Prakash; Wellen, Jason; Feldman, Stephen; Chamberlain, Ronald S.
• Other Names: Maddern Guy Academic Editor.
• Is Part Of: HPB surgery. Volume 2009(2009)
• Publication Date: 2009-06-04
• Subjects: Biliary tract -- Surgery -- Periodicals; Liver -- Surgery -- Periodicals; Pancreas -- Surgery -- Periodicals; 617.55
• DOI: 10.1155/2009/153269
• Languages: English
• ISSNs: 0894-8569

Abstract

Abstract : 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.