A case of cystic duct drainage into the left intrahepatic duct and the importance of laparoscopic fundus-first cholecystectomy for prevention of bile duct injury.

A case of cystic duct drainage into the left intrahepatic duct and the importance of laparoscopic fundus-first cholecystectomy for prevention of bile duct injury. Research Abstract Details 

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A case of cystic duct drainage into the left intrahepatic duct and the importance of laparoscopic fundus-first cholecystectomy for prevention of bile duct injury. Abstract Text:

Tatsuo Yamakawa,Tianhua Zhang,Yutaka Midorikawa,Junji Ishiyama,Katsuyuki Takahashi,Yasuyuki Sugiyama,Tatsuo Yamakawa,Tianhua Zhang,Yutaka Midorikawa,Junji Ishiyama,Katsuyuki Takahashi,Yasuyuki Sugiyama,

The laparoscopic cholecystectomy is the gold standard for the treatment of cholecystolithiasis, although it has been reported that the incidence of bile duct injury is higher for this method than for conventional open surgery. These injuries are mainly attributable to a misunderstanding of the biliary tract anatomy owing to severe cholecystitis, large impacted stones, and anatomic variations. In this paper, we report on the successful treatment of a 59-year-old male patient with cholecystolithiasis accompanied with extremely unusual biliary junction, in which the cystic duct drained into the left hepatic duct while using the laparoscopic fundus-first-cholecystectomy approach (i.e., the doom down technique) without any serious intraoperative complications. If the doom-down technique was not indicated in this particular case, the authors believe that a careless division of the cystic duct may have resulted in operative morbidity.

A case of cystic duct drainage into the left intrahepatic duct and the importance of laparoscopic fundus-first cholecystectomy for prevention of bile duct injury. Publishing Authors By Initials

T Yamakawa,T Zhang,Y Midorikawa,J Ishiyama,K Takahashi,Y Sugiyama,T Yamakawa,T Zhang,Y Midorikawa,J Ishiyama,K Takahashi,Y Sugiyama,

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A case of cystic duct drainage into the left intrahepatic duct and the importance of laparoscopic fundus-first cholecystectomy for prevention of bile duct injury. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Journal of laparoendoscopic & advanced surgical te

VOLUME: 17

Page Numbers: 662-5

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ISSN: 1092-6429

DAY: 2

MONTH: Oct

YEAR: 2007

A case of cystic duct drainage into the left intrahepatic duct and the importance of laparoscopic fundus-first cholecystectomy for prevention of bile duct injury. Information

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LANGUAGE: eng

NlmUniqueID: 9706293

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AFFILIATION: Department of Surgery, Teikyo University Hospital at Mizonokuchi, Kawasaki, Japan. yamakawa@med.teikyo-u.ac.jp

Country: United States

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MEDLINETA: J Laparoendosc Adv Surg Tech A

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