Abstract:Objective:To investigate the risk factors and methods for prevention and treatment of iatrogenic bile duct injury caused by cholecystectomy in patients with extrahepatic aberrance of right hepatic duct.
Methods :The clinical data of 25 patients with extrahepatic aberrance of right hepatic duct and iatrogenic bile duct injury during cholecystectomy treated in our hospital from Match, 1990 to June, 2005 were retrospectively analyzed.
Results:The bile duct of right posterior lobe was erroneously regarded as the cystic duct and resection was the major reason for its injury. The major injury type was class Ⅱ.
Conclusions:A heightened awareness of abnormal bile duct anatomy such as extrahepatic aberrance of right hepatic duct and following the principle of “identification-cut-identification” during cholecystectomy is important for prevention of iatrogenic bile duct injury. Important factors in improving the therapeutic outcome of bile duct injury are the time when diagnosis of the injury was made,the type of the injury and the correct selection of surgical procedure.