Hepatic duct transection during laparoscopic cholecystectomy.
A rare anatomical variation was encountered during a laparoscopic cholecystectomy. The right hepatic duct emptied into the infundibulum of the gallbladder. This confluence then joined the left hepatic duct to form the common bile duct. The right hepatic duct was transected between the gallbladder and the common bile duct as a normal cystic duct would have been isolated and divided laparoscopicaly. This anatomic variant was recognized after further mobilization of the gallbladder from the liver bed. A laparotomy was performed to create a right hepatic duct enteric anastomosis. The case illustrates one possible pitfall that may be encountered during laparoscopic cholecystectomy.
Battaglia
S A
SA
Dept. of Surgery, Catholic Medical Center of Brooklyn and Queens, Jamaica, NY 11432.
Pizzi
W F
WF
Khaneja
S C
SC
Bulauitan
M
M
D000328:Adult; D017081:Cholecystectomy, Laparoscopic; D005260:Female; D006500:Hepatic Duct, Common / Q000002:abnormalities*; D006801:Humans