[Cystohepatic ducts. Surgical problems and review of the literature. About 10 operated cases (author's transl)].
The authors are reporting 10 cases of operated cystohepatic ducts. In each case there is a unic duct, leading five times in the gallbladder, and once in the cystic duct. In 8 cases this abnormality was shown intraoperatively. In 2 cases the diagnosis was only given during the surgical procedure, when a fistulography was performed. In one case it was necessary to reoperate. In four cases during the cholecystectomy we had to ligate the cystohepatic duct. In order to argue these cases, a literature review was done: 42 cases were found. The ligation of a cystohepatic duct is in most cases without consequences. the different ways of restoration are studied when large ducts are found. The best treatment of such an abnormality seems to be an anterograde cholecystectomy associated to a systematic drainage of the gallbladder region.
D000328:Adult; D000368:Aged; D001652:Bile Ducts / Q000002:abnormalities* / Q000033:anatomy & histology / Q000601:surgery; D001658:Biliary Fistula / Q000209:etiology; D002758:Cholangiography; D002763:Cholecystectomy / Q000009:adverse effects; D003549:Cystic Duct / Q000002:abnormalities; D004322:Drainage; D005260:Female; D005704:Gallbladder / Q000002:abnormalities*; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D012086:Reoperation
Les canaux cysto-hépatiques. Incidences chirurgicales et revue de la littérature. A propos de dix cas opérés.