Diagnosis and Management of Anatomic Variations of the Cystic Duct during Laparoscopic Cholecystectomy
- VernacularTitle:腹腔镜胆囊切除术中胆囊管解剖变异的诊断及处理
- Author:
Jieqi GONG
1
;
Bin YAN
;
Weixin CHEN
;
Weixing SHEN
Author Information
1. 复旦大学附属中山医院青浦分院肝胆外科
- Keywords:
Laparoscopy;
Cholecystectomy;
Cystic duct;
Anatomic variation;
Diagnosis;
Management
- From:
Chinese Journal of Clinical Medicine
2014;(3):334-335
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the diagnosis and management of anatomic variation of the cystic duct during laparoscopic cholecystectomy(LC) .Methods :From Jan 1999 to Dec 2013 ,4652 cases of LC ,which were performed in Qingpu Branch of Zhongshan Hospital ,Fudan University ,were retrospectively analyzed .A total of 34 cases of anatomic variation of the cystic duct were found .Among the 34 cases of anatomic variation of the cystic duct ,11 cases had thick and short cystic duct ,7 cases had a cystic duct converged into right hepatic duct ,6 cases had cystic duct converged into lower part of common hepatic duct ,1 case had cystic duct pronated forward and converged into common hepatic duct from left side ,3 cases had cystic duct that paral-lel itself with common hepatic duct and then converged into common bile duct ,4 cases were diagnosed with Mrizzi syndrome ,2 cases had situs viscera inversus .Results:Among the 34 cases with anatomic variations of cystic duct ,22 cases successfully un-derwent LC ,the other 12 cases were converted to open cholecystectomy .All the complications were biliary duct injury that re-covered well after treatment .Conclusions :Anatomic variation of the cystic duct is hard to diagnose preoperatively .Paying More attention to the anatomic variation during LC ,dissecting calot′s triangle carefully ,and identifying the relationship between the various pipeline is the key to prevent and reduce the biliary duct injury .
