Research Paper | Medical Surgical | India | Volume 6 Issue 7, July 2017
Abberant Right Posterior Sectoral Duct ? At Risk for Injury during Laparoscopic Cholecystectomy
A K. Mathur, Praveen Mathur
Bile duct injury is a recognized complication of laparoscopic cholecystectomy. Anomalous right posterior sectoral bile duct occurs in around 25 % of patients. Its drainage can occur into the gall bladder neck, cystic duct, common hepatic duct or rarely into left hepatic duct increasing the risk of injury during laparoscopic cholecystectomy. Sectoral bile duct injury is rare often missed during surgery or diagnosed late postoperatively but contributes to significant morbidity to the patient with multiple subsequent interventions and procedures (1). Herein, we describe 5 cases of isolated right posterior sectoral ducts encountered during laparoscopic cholecystectomy. In all cases the dissection of Calots triangle was difficult and stone impacted close to juncton of the aberrant duct with gall bladder or cystic duct. In 4 cases, the sectoral duct was joining cystic duct and was saved. In another case the sectoral duct was draining into the gallbladder neck, it was detected only after clipping and cutting of cystic duct below it was joined by sectoral duct. Patient needed conversion to open surgery and roux-en-y hepaticojejunostomy was done with the sectoral duct. Patient made uneventful recovery. This paper discusses strategies for prevention of such injuries along with the diagnostic and therapeutic challenges it offers.
Keywords: Cholecystectomy, Bile duct injury, Sectoral bile duct, Hepaticojejunostomy, Segmental Liver Resection
Edition: Volume 6 Issue 7, July 2017
Pages: 1191 - 1193
How to Cite this Article?
A K. Mathur, Praveen Mathur, "Abberant Right Posterior Sectoral Duct ? At Risk for Injury during Laparoscopic Cholecystectomy", International Journal of Science and Research (IJSR), https://www.ijsr.net/search_index_results_paperid.php?id=ART20175305, Volume 6 Issue 7, July 2017, 1191 - 1193
39 PDF Views | 39 PDF Downloads
Similar Articles with Keyword 'Cholecystectomy'
Research Paper, Medical Surgical, India, Volume 6 Issue 7, July 2017
Pages: 1191 - 1193Abberant Right Posterior Sectoral Duct ? At Risk for Injury during Laparoscopic Cholecystectomy
A K. Mathur, Praveen Mathur
Research Paper, Medical Surgical, India, Volume 5 Issue 11, November 2016
Pages: 1909 - 1912Laproscopic Cholecystectomy: Cystic Duct Occlusion with Titanium Clip or Ligature
Deepak Sharma, Brijesh Sharma, Mahesh Solanki
Research Paper, Medical Surgical, India, Volume 7 Issue 9, September 2018
Pages: 1510 - 1512A Clinical Study of Cholecystectomies in PGIMS, Rohtak
Dipanshu Gupta, Ashish Anand, Md Taquedis Noori, Anil Mehta, Pradeep Garg, Rajesh Godara
Research Paper, Medical Surgical, India, Volume 5 Issue 7, July 2016
Pages: 858 - 861Pain and Duration Scoring Between Open and Laparoscopic Cholecystectomy
Dr. Bommireddy V. Reddy, Dr. Abhijith Sudhakar Shetty
Research Paper, Medical Surgical, India, Volume 8 Issue 6, June 2019
Pages: 2295 - 2298Enhanced Recovery after Surgery (ERAS) Protocol in Case of Open Cholecystectomy: A Case Series
Dr Rohit, Dr Khushal
Similar Articles with Keyword 'Hepaticojejunostomy'
Research Paper, Medical Surgical, India, Volume 6 Issue 7, July 2017
Pages: 1191 - 1193Abberant Right Posterior Sectoral Duct ? At Risk for Injury during Laparoscopic Cholecystectomy
A K. Mathur, Praveen Mathur
Case Studies, Medical Surgical, India, Volume 6 Issue 12, December 2017
Pages: 219 - 223Choledochal Cyst: A Retrospective Study Case Series
Dr. Jagdish Hedawoo, Dr. Archana Kamble, Dr. Nilesh Nagdive