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Posterior sector biliary duct injury during laparoscopic cholecystectomy: Case report [Laparosc Endosc Surg Sci ]
Laparosc Endosc Surg Sci . 2019; 26(2): 81-83 | DOI: 10.14744/less.2019.00922

Posterior sector biliary duct injury during laparoscopic cholecystectomy: Case report

Serdar Karakaş, Sertaç Usta, Fatih Özdemir
Department of General Surgery, İnönü University Faculty of Medicine, Malatya, Turkey

Biliary injuries are common after a cholecystectomy. One of the most important reasons for biliary injury during laparoscopic cholecystectomy (LC) is variant anatomy of the extrahepatic bile duct. Described in this report is a rare complication of a LC that included a posterior right sectoral duct injury. A 45- year-old woman was referred with peritonitis, including a large quantity of fluid in the abdomen. She had undergone an LC at a state hospital 14 days before the referral. Pouchography revealed a connection between the site of fluid collection and the posterior sector of the right main bile duct. An exploratory laparotomy revealed a dissected right posterior sector channel. A Roux-en-Y hepaticojejunostomy was constructed with no complication. Surgical experience, training, and maintaining a critical view toward safety are the most important factors to prevent bile duct injuries after LC. Care taken with anatomical variance of the extrahepatic biliary tree is also a key factor in the prevention of iatrogenic biliary injuries. Posterior sector injuries should be kept in mind; however, hepaticojejunostomy is a feasible method to overcome this potential complication after the elimination of any intra-abdominal infection.

Keywords: Injury, laparoscopic cholecystectomy; posterior sector.

Serdar Karakaş, Sertaç Usta, Fatih Özdemir. Posterior sector biliary duct injury during laparoscopic cholecystectomy: Case report. Laparosc Endosc Surg Sci . 2019; 26(2): 81-83

Corresponding Author: Serdar Karakaş, Türkiye
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