{"id":537,"date":"2018-02-10T00:00:00","date_gmt":"2018-02-10T00:00:00","guid":{"rendered":"http:\/\/npaa.in\/journal-ijta\/extrahepatic-biliaryanatomy-variation-encountered-during-laparoscopic-cholecystectomy\/"},"modified":"2019-09-23T06:05:25","modified_gmt":"2019-09-23T06:05:25","slug":"extrahepatic-biliaryanatomy-variation-encountered-during-laparoscopic-cholecystectomy","status":"publish","type":"post","link":"https:\/\/npaa.in\/journal-ijta\/2018\/02\/10\/extrahepatic-biliaryanatomy-variation-encountered-during-laparoscopic-cholecystectomy\/","title":{"rendered":"EXTRAHEPATIC BILIARYANATOMY VARIATION ENCOUNTERED DURING LAPAROSCOPIC CHOLECYSTECTOMY"},"content":{"rendered":"

Sah N P, Sah S P, Khaniya S, Awale L, Agarwal CS, Adhikary S<\/p>\n

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ABSTRACT<\/o_p><\/span><\/b><\/p>\n

Background : <\/span><\/b><\/span>Cholelithiasis is\u00a0one of the\u00a0common\u00a0surgical\u00a0problems\u00a0worldwide and\u00a0cholecystectomy\u00a0offers complete cure for the disease. Though,\u00a0cholecystectomy is one of the most common major surgical\u00a0procedures, it comes with the surprise to the surgeon due to high association with congenital\u00a0anomalies of extra hepatic biliary tree<\/span>. <\/o_p><\/span><\/p>\n

Objectives : <\/span><\/b>The primary objective is <\/span>to assess the variability of the anatomy of the extra-hepatic biliary systems in terms of<\/span> Extra-hepaticBile ductal anomaly including Gall bladder; Cystic duct and <\/span>Vascular anomaly seen at Calot\u00e2\u20ac\u2122s triangle. The secondary objectives are <\/span>to study demographic profile of gallstone patients and outcome of laparoscopic cholecystectomy.<\/span><\/o_p><\/span><\/p>\n

Methods : <\/span><\/b>The study was conducted at <\/span>B. P. Koirala Institute of Health Sciences, Dharan for One year ( 2014- 2015). The inclusion criteria were all the patients undergoing laparoscopic cholecystectomy in the Department of General Surgery. The exclusion criteria were <\/span>CBD Stone, malignancy of Extra hepatic biliary tree<\/span>,<\/span>Cholecystectomy as a part of other surgery<\/span> and <\/span>Open cholecystectomy.<\/span><\/o_p><\/span><\/p>\n

Results : <\/span><\/b>In\u00a0our study among 335 patients,\u00a0anatomical variation was noted in\u00a033 patients (9.85%). There were 5 <\/span>gallbladder anomaly, 11 cystic duct anomaly, 4 Right hepatic artery anomaly and 13 cystic artery anomaly. Biliary leakage present in 2 case.There was no mortality.<\/o_p><\/span><\/p>\n

Conclusion : <\/span><\/b><\/span>Though <\/span><\/span>Congenital anomalies of extra- hepatic biliary tree are not common but can be of clinical importance and surprise if present. So every surgeon should assess for these anomalies during laparoscopic cholecystectomy in order to prevent inadvertent ductal clipping, ductal injuries, strictures and bleeding problems.\u00a0<\/span><\/o_p><\/span><\/p>\n

Key words:<\/span><\/b><\/span>\u00a0<\/span><\/b><\/span>Extrahepatic<\/span><\/span> biliary,<\/span><\/span> cholecystectomy<\/span><\/span><\/o_p><\/span><\/p>\n<\/p><\/div>\n


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PDF<\/a><\/p>\n

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Sah N P, Sah S P, Khaniya S, Awale L, Agarwal CS, Adhikary S ABSTRACT Background : Cholelithiasis is\u00a0one of … <\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,46],"tags":[],"class_list":["post-537","post","type-post","status-publish","format-standard","hentry","category-3","category-volume-35"],"_links":{"self":[{"href":"https:\/\/npaa.in\/journal-ijta\/wp-json\/wp\/v2\/posts\/537","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/npaa.in\/journal-ijta\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/npaa.in\/journal-ijta\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/npaa.in\/journal-ijta\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/npaa.in\/journal-ijta\/wp-json\/wp\/v2\/comments?post=537"}],"version-history":[{"count":2,"href":"https:\/\/npaa.in\/journal-ijta\/wp-json\/wp\/v2\/posts\/537\/revisions"}],"predecessor-version":[{"id":1213,"href":"https:\/\/npaa.in\/journal-ijta\/wp-json\/wp\/v2\/posts\/537\/revisions\/1213"}],"wp:attachment":[{"href":"https:\/\/npaa.in\/journal-ijta\/wp-json\/wp\/v2\/media?parent=537"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/npaa.in\/journal-ijta\/wp-json\/wp\/v2\/categories?post=537"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/npaa.in\/journal-ijta\/wp-json\/wp\/v2\/tags?post=537"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}