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- W2895682387 abstract "Introduction: Laparoscopic cholecystectomy is one of the most frequently performed surgical procedures. The most feared complication is iatrogenic bile duct or vascular injury.Misperception of intraoperative anatomy is one of the most important causes of these injuries. To decrease the incidence of bile duct injuries, Strasberg introduced the “critical view of safety” technique in 1995. The use of complimentary methods to avoid iatrogenic bile duct injuries, such as intraoperative cholangiography (IOC), is recommended to define unclear anatomy. Methods: The authors present thecase of a 32 year old patient admitted for elective laparoscopic cholecystectomy due to symptomatic cholelithiasis. During dissection of Calot's Triangle in order to obtain the critical view of safety, we've identified more than two structures. Results: IOC revealed anomalous drainage of the right posterior segmental duct to the cystic duct. The cystic duct was divided above the insertion of this segmental duct. Postoperative period was uneventful. Conclusion: Biliary anatomy and its common and uncommon variations are of considerable clinical significance. Normal biliary anatomy is thought to be present in 58% of the population and atypical branching patterns of intrahepatic bile ducts were found up to 37% of cases. Anomalous drainage of the right posterior segmental can be subdivided into types 3A, 3B, and 3C, according to the literature. This case represents a type 3C because it drains into the cystic duct." @default.
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- W2895682387 date "2018-09-01" @default.
- W2895682387 modified "2023-10-14" @default.
- W2895682387 title "A rare case of atypical branching pattern of an intrahepatic bile duct" @default.
- W2895682387 doi "https://doi.org/10.1016/j.hpb.2018.06.1573" @default.
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