title: Biliary leakage from gallbladder bed after cholecystectomy: Luschka duct or hepaticocholecystic duct?
abstract: Anatomic variations in the biliary tract are common and can cause difficulties when a cholecystectomy is performed. One of the most common ones are hepaticocholecystic ducts and Luschka ducts, connecting the gallbladder or its bed to the bile ducts but distinction between these two types of ducts can be difficult. We do discuss here the differences between these anatomical variations, their origin and their clinical implications. These aberrant ducts may go unnoticed and may require further complementary procedures in case of postoperative biliary leakage. In addition to a careful surgical procedure and an examination of the cystic bed in the end of the intervention, an intraoperative cholangiography should be performed as often as possible.
authors.affiliation: Chirurgie générale et digestive, service de chirurgie générale et digestive, centre hospitalier Germon-et-Gauthier, rue Delbecque, BP 10809, 62408 Béthune cedex, France.
authors.forename: B
authors.initials: B
authors.lastname: Doumenc
authors.affiliation: Chirurgie générale et digestive, service de chirurgie générale et digestive, centre hospitalier Germon-et-Gauthier, rue Delbecque, BP 10809, 62408 Béthune cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Boutros
authors.affiliation: Chirurgie générale et digestive, service de chirurgie générale et digestive, centre hospitalier Germon-et-Gauthier, rue Delbecque, BP 10809, 62408 Béthune cedex, France.
authors.forename: R
authors.initials: R
authors.lastname: Dégremont
authors.affiliation: Chirurgie générale et digestive, service de chirurgie générale et digestive, centre hospitalier Germon-et-Gauthier, rue Delbecque, BP 10809, 62408 Béthune cedex, France. Electronic address: afouadbouras@gmail.com.
authors.forename: A F
authors.initials: AF
authors.lastname: Bouras
mesh_terms: D063405:Anatomic Variation; D001646:Bile; D017734:Bile Ducts, Extrahepatic / Q000002:abnormalities* / Q000293:injuries / Q000601:surgery*; D002758:Cholangiography; D002763:Cholecystectomy; D005704:Gallbladder / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*
keywords: Arborisation biliaire; Bile leakage; Biliary tract; Canal cholécystohépatique; Canal de Luschka; Cholangiogram; Cholangiogramme; Cholecystectomy; Cholécystectomie; Fuite biliaire; Hepaticocholecystic duct; Luschka duct