Author/Authors :
girgin, mustafa fırat üniversitesi - tıp fakültesi - genel cerrahi anabilim dalı, Elazığ, turkey , kanat, burhan hakan elazığ eğitim ve araştırma hastanesi - genel cerrahi kliniği, Elazığ, turkey , çetinkaya, ziya fırat üniversitesi - tıp fakültesi - genel cerrahi anabilim dalı, Elazığ, turkey , dinçer, mürşit istanbul haseki eğitim ve araştırma hastanesi - genel cerrahi kliniği, Istanbul, TURKEY
Abstract :
Objective: Overlooking small bile ducts between the gall bladder and liver opening directly to gall bladder may cause bile leakage after laparoscopic cholecystectomy. Materials and Methods: A retrospective evaluation of 230 laparoscopic cholecystectomies including 8 cases of recognized and ligated subvesical bile ducts was conducted. Results: In all of 8 patients with subvesical ducts in the gall bladder fossa, the ducts were ligated by clip or ligasure, no bile leakage was seen after operation. Conclusions: The anatomic variation of subvesical bile ducts poses a risk during laparoscopic cholecystectomies. A careful and gentle dissection of gall bladder from the liver is elemental in recognizing and ligating small bile ducts which can be the cause of bile leakages during cholecystectomies.
NaturalLanguageKeyword :
Bile leaks after cholecystectomy , subvesical duct , bile leakage , Luschka duct
