Japanese

Laparoscopic cholecystectomy for chronic cholecystitis with anomaly of cystic duct branching : a case report Masayuki SHIBASAKI 1 , Yasutsugu BANDAI 1 , Kouji KUSAKA 1 , Masayoshi IJICHI 1 , Takeaki ISHIZAWA 1 , Nobuhiro HARADA 1 1Department of Surgery, Social Insurance Chuo General Hospital Keyword: 胆管変異 , 穿刺胆道造影 , 腹腔鏡下胆囊摘出術 pp.703-708
Published Date 2010/10/15
DOI https://doi.org/10.11477/mf.4426100548
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 We report a 62-year-old woman with gallstones and an anomaly of cystic duct branched from right hepatic duct who successfully underwent laparoscopic cholecystectomy(LC). At first, anatomy of Calot's triangle was not clear due to severe inflammation. However, right hepatic duct and cystic duct were safely confirmed by dissection under direct view from the dorsal side of Calot's triangle with a guide of intraoperative puncture cholangiography. In this case, intraoperative puncture cholangiography was very useful in understanding the anatomy of the biliary tract. It is important to obtain a critical view by dissection under direct view from the dorsal side of Calot's triangle using flag technique to avoid bile duct injury in the case of severe inflammation with biliary tract anomaly.


Copyright © 2010, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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