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A novel classification of aberrant right hepatic ducts ensures a critical view of safety in laparoscopic cholecystectomy
- Source :
- Surgical Endoscopy. 34:2904-2910
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- Based on the spatial relationship of an aberrant right hepatic duct (ARHD) with the cystic duct and gallbladder neck, we propose a practical classification to evaluate the specific form predisposing to injury in laparoscopic cholecystectomy (LC). We retrospectively investigated the preoperative images (mostly magnetic resonance cholangiopancreatography) and clinical outcomes of 721 consecutive patients who underwent LC at our institute from 2015 to 2018. We defined the high-risk ARHD as follows: Type A: communicating with the cystic duct and Type B: running along the gallbladder neck or adjacent to the infundibulum (the minimal distance from the ARHD
- Subjects :
- Adult
Male
medicine.medical_specialty
Cholangiopancreatography, Magnetic Resonance
medicine.medical_treatment
Operative Time
Hepatic Duct, Common
Gallbladder Diseases
Infundibulum
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Risk Factors
Internal medicine
Laparotomy
Preoperative Care
medicine
Humans
Aged
Retrospective Studies
Aged, 80 and over
Magnetic resonance cholangiopancreatography
medicine.diagnostic_test
Bile duct
business.industry
Cystic Duct
Gallbladder
Length of Stay
Middle Aged
Hepatology
Surgery
Treatment Outcome
medicine.anatomical_structure
Cholecystectomy, Laparoscopic
030220 oncology & carcinogenesis
Cystic duct
Female
030211 gastroenterology & hepatology
Bile Ducts
Complication
business
Abdominal surgery
Subjects
Details
- ISSN :
- 14322218 and 09302794
- Volume :
- 34
- Database :
- OpenAIRE
- Journal :
- Surgical Endoscopy
- Accession number :
- edsair.doi.dedup.....5ddded2064e80ccd71297040d476d53c