Laparoscopic cholecystectomy with communicating accessory hepatic duct injury and management: A case report  

作　　者：Peng-Ju Zhao Yan Ma Ji-Wu Yang 

机构地区：[1]Department of General Surgery II,The First Affiliated Hospital of Dali University,Dali 671000,Yunnan Province,China [2]Department of Rehabilitation Medicine,The First Affiliated Hospital of Dali University,Dali 671000,Yunnan Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2024年第12期3870-3874,共5页世界胃肠外科杂志（英文）

摘　　要：BACKGROUND Laparoscopic cholecystectomy is considered the gold standard for the treatment of patients with gallstones.However,bile duct injury is one of the most serious complications of this surgery,with an incidence rate of 0.3%-0.7%.Variations in anatomical structures are one of the main reasons for such injuries.CASE SUMMARY We report a 26-year-old male patient who presented with repeated upper abdominal pain for 1 year.Ultrasound examination and blood tests indicated gallstones accompanied by chronic cholecystitis.The patient underwent laparo-scopic cholecystectomy.During the surgery,a communicating bile duct connec-ting the gallbladder neck and the right hepatic duct was discovered and injured.Meticulous dissection identified it as a communicating accessory hepatic duct,which was then definitively ligated.Postoperatively,the patient recovered well,magnetic resonance imaging and magnetic resonance cholangiopancreatography showed no intrahepatic or extrahepatic bile duct strictures.The pathology report showed chronic cholecystitis with gallstones.CONCLUSION Carefully manage communicating accessory bile ducts in cholecystectomy using cholangiography or meticulous separation,followed by ligation is effective.

关 键 词：Laparoscopic cholecystectomy Bile duct injury Accessory hepatic duct Anatomical variation Case report 

分 类 号：R657.4[医药卫生—外科学]