Iatrogenic bile duct injury associated with anomalies of the right hepatic sectoral ducts: A misunderstood and underappreciated problem

Ronald S. Chamberlain, Nitin Babel, Sujit V. Sakpal, Prakash Paragi, Jason Wellen, Stephen Feldman

Research output: Contribution to journalReview article

17 Scopus citations

Abstract

Although laparoscopic cholecystectomy (LC) has been widely accepted as the standard of care, it continues to have a higher complication rate than open cholecystectomy. Bile duct injury with LC has often been attributed to surgical inexperience, but it is also clear that aberrant bile ducts are present in a significant number of patients who sustain biliary injuries during these procedures. We present three cases of right sectoral hepatic duct injuries which occurred during LC and provide a discussion of the conditions which are likely to lead to these injuries, as part of a strategy to prevent them.

Original languageEnglish
Article number153269
JournalHPB Surgery
DOIs
StatePublished - Jan 1 2009
Externally publishedYes

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