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A Type V Aberrant Right Hepatic Duct Branching from the Cystic Duct: The Paramount Importance of Intraoperative Cholangiography in Supplementing the Critical View of Safety Technique in Laparoscopic Cholecystectomy

In this report, we present a 38-year-old female with acute cholecystitis, in which an aberrant right hepatic duct draining directly into the cystic duct was revealed by intraoperative cholangiography during a laparoscopic cholecystectomy. This anomaly was classified as the class V variant using the...

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Autores principales: Narlapati, Hema M., Telian, Simon H., Peirce, Gregory S., Kaplan, Adam J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Society of Laparoscopic and Robotic Surgeons 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9387367/
https://www.ncbi.nlm.nih.gov/pubmed/36017506
http://dx.doi.org/10.4293/CRSLS.2022.00005
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author Narlapati, Hema M.
Telian, Simon H.
Peirce, Gregory S.
Kaplan, Adam J.
author_facet Narlapati, Hema M.
Telian, Simon H.
Peirce, Gregory S.
Kaplan, Adam J.
author_sort Narlapati, Hema M.
collection PubMed
description In this report, we present a 38-year-old female with acute cholecystitis, in which an aberrant right hepatic duct draining directly into the cystic duct was revealed by intraoperative cholangiography during a laparoscopic cholecystectomy. This anomaly was classified as the class V variant using the Hisatsugu classification schema, which has an incidence of 1.02%. The use of Strasberg’s critical view of safety has become ubiquitous in laparoscopic cholecystectomy. Intraoperative cholangiography provides and additional layer of safety, and should be considered as a routine practice, particularly when imaging to delineate biliary anatomic aberrancies has not been performed prior to surgery.
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spelling pubmed-93873672022-08-24 A Type V Aberrant Right Hepatic Duct Branching from the Cystic Duct: The Paramount Importance of Intraoperative Cholangiography in Supplementing the Critical View of Safety Technique in Laparoscopic Cholecystectomy Narlapati, Hema M. Telian, Simon H. Peirce, Gregory S. Kaplan, Adam J. CRSLS Case Report In this report, we present a 38-year-old female with acute cholecystitis, in which an aberrant right hepatic duct draining directly into the cystic duct was revealed by intraoperative cholangiography during a laparoscopic cholecystectomy. This anomaly was classified as the class V variant using the Hisatsugu classification schema, which has an incidence of 1.02%. The use of Strasberg’s critical view of safety has become ubiquitous in laparoscopic cholecystectomy. Intraoperative cholangiography provides and additional layer of safety, and should be considered as a routine practice, particularly when imaging to delineate biliary anatomic aberrancies has not been performed prior to surgery. Society of Laparoscopic and Robotic Surgeons 2022-03-28 /pmc/articles/PMC9387367/ /pubmed/36017506 http://dx.doi.org/10.4293/CRSLS.2022.00005 Text en © 2022 by SLS, Society of Laparoscopic & Robotic Surgeons. https://creativecommons.org/licenses/by-nc-sa/3.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-ShareAlike 3.0 Unported license (http://creativecommons.org/licenses/by-nc-sa/3.0/ (https://creativecommons.org/licenses/by-nc-sa/3.0/) ), which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Case Report
Narlapati, Hema M.
Telian, Simon H.
Peirce, Gregory S.
Kaplan, Adam J.
A Type V Aberrant Right Hepatic Duct Branching from the Cystic Duct: The Paramount Importance of Intraoperative Cholangiography in Supplementing the Critical View of Safety Technique in Laparoscopic Cholecystectomy
title A Type V Aberrant Right Hepatic Duct Branching from the Cystic Duct: The Paramount Importance of Intraoperative Cholangiography in Supplementing the Critical View of Safety Technique in Laparoscopic Cholecystectomy
title_full A Type V Aberrant Right Hepatic Duct Branching from the Cystic Duct: The Paramount Importance of Intraoperative Cholangiography in Supplementing the Critical View of Safety Technique in Laparoscopic Cholecystectomy
title_fullStr A Type V Aberrant Right Hepatic Duct Branching from the Cystic Duct: The Paramount Importance of Intraoperative Cholangiography in Supplementing the Critical View of Safety Technique in Laparoscopic Cholecystectomy
title_full_unstemmed A Type V Aberrant Right Hepatic Duct Branching from the Cystic Duct: The Paramount Importance of Intraoperative Cholangiography in Supplementing the Critical View of Safety Technique in Laparoscopic Cholecystectomy
title_short A Type V Aberrant Right Hepatic Duct Branching from the Cystic Duct: The Paramount Importance of Intraoperative Cholangiography in Supplementing the Critical View of Safety Technique in Laparoscopic Cholecystectomy
title_sort type v aberrant right hepatic duct branching from the cystic duct: the paramount importance of intraoperative cholangiography in supplementing the critical view of safety technique in laparoscopic cholecystectomy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9387367/
https://www.ncbi.nlm.nih.gov/pubmed/36017506
http://dx.doi.org/10.4293/CRSLS.2022.00005
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