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Japanese

A case of laparoscopic cholecystectomy following biliary drainage tube placement for cholelithiasis with communicating accessory bile duct Daisuke NOGUCHI 1 , Ken ICHIKAWA 1 , Michio KOUNO 1 , Akinobu KONDO 1 , Minoru TANAKA 1 , Tatsushi NAGANUMA 1 1Department of Surgery, Saiseikai Matsusaka General Hospital Keyword: 副交通胆管枝 , 腹腔鏡下胆囊摘出術 , 経鼻胆道ドレナージチューブ pp.795-800
Published Date 2017/11/15
DOI https://doi.org/10.11477/mf.4426200480
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A 43-year-old woman was admitted to our hospital with epigastric pain. Blood examination showed mild liver dysfunction, and imaging studies showed gallbladder stones. Computed tomography with drip infusion cholangiography revealed a communicating accessory bile duct(CABD) connecting the cystic duct to the anterior segmental branch of the hepatic bile duct. An endoscopic nasobiliary drainage tube(ENBD) was placed, then laparoscopic cholecystectomy with resection of the CABD was performed. In some cholelithiasis cases with CABD, resection of CABD may prevent recurrence of bile duct stones. Placement of a biliary drainage tube before laparoscopic cholecystectomy may improve the safety and accuracy of this operation.


Copyright © 2017, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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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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