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BMC Surgery
Published in: BMC Surgery 1/2017

Open Access 01-12-2017 | Research article

Preoperative evaluation of accessory hepatic ducts by drip infusion cholangiography with CT

Authors: Hiromichi Ishii, Akinori Noguchi, Tomoyuki Fukami, Riho Sugimoto, Hiroyuki Tada, Hiroki Takeshita, Seiji Umehara, Hiroyuki Izumi, Naoki Tani, Masahide Yamaguchi, Tetsuro Yamane

Published in: BMC Surgery | Issue 1/2017

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Abstract

Background

This retrospective study aimed to investigate the incidence of each type of accessory hepatic duct by drip infusion cholangiography with CT (DIC-CT).

Methods

Five hundred sixty nine patients who underwent preoperative DIC-CT and laparoscopic cholecystectomy were reviewed. Accessory hepatic ducts were classified as follows: type I (accessory hepatic ducts that merged with the common hepatic duct between the confluence of the right and left hepatic ducts and the cystic duct confluence), type II (those that merged with the common hepatic duct at the same site as the cystic duct), type III (those that merged with the common bile duct distal to the cystic duct confluence), type IV (the cystic duct merged with the accessory hepatic duct), and type V (accessory hepatic ducts that merged with the common hepatic or bile duct on the left side).

Results

Accessory hepatic ducts were observed in 50 patients. Type I, II, III, IV, and V accessory hepatic ducts were detected in 32, 3, 1, 11, and 3 patients, respectively. Based on their drainage areas, the accessory hepatic ducts were also classified as follows: a posterior branch in 22 patients, an anterior branch in 9 patients, a combination of posterior and anterior branches in 16 patients, a left-sided branch in 2 patients, and a caudate branch in 1 patient. None of the patients with accessory hepatic ducts suffered bile duct injuries.

Conclusion

There are a number of variants of the accessory hepatic duct. DIC-CT is useful to detect the accessory hepatic duct.
Literature
1.
Uchiyama K, Tani M, Kawai M, Ueno T, Hama T, Yamaue H. Preoperative evaluation of the extrahepatic bile duct structure for laparoscopic cholecystectomy. Surg Endosc. 2006;20:1119–23.CrossRefPubMed
2.
Nijssen MA, Schreinemakers JM, Meyer Z, van der Schelling GP, Crolla RM, Rijken AM. Complication after laparoscopic cholecystectomy: a video evaluation study of whether the critical view of safety was reached. World J Surg. 2015;39:1798–803.CrossRefPubMed
3.
Hugh TB. New strategies to prevent laparoscopic bile duct injury: surgeons can learn from pilots. Surgery. 2002;132:826–35.CrossRefPubMed
4.
Noji T, Nakamura F, Nakamura T, Kato K, Suzuki O, Ambo Y, et al. ENBD tube placement prior to laparoscopic cholecystectomy may reduce the rate of complications in cases with predictably complicating biliary anomalies. J Gastroenterol. 2011;46:73–7.CrossRefPubMed
5.
Ochiai T, Yamazaki S, Ohta K, Takahashi M, Iwai T, Irie T, et al. Is drip infusion cholecystocholangiography (DIC) an acceptable modality at cholecystectomy for cholecystolithiasis, considering the frequency of bile duct maljunction and intraoperative bile duct injury? J Hepato-Biliary-Pancreat Surg. 2004;11:135–9.CrossRef
6.
Kurata M, Honda G, Okuda Y, Kobayashi S, Sakamoto K, Iwasaki S, et al. Preoperative detection and handling of aberrant right posterior sectoral hepatic duct during laparoscopic cholecystectomy. J Hepatobiliary Pancreat Sci. 2015;22:558–62.CrossRefPubMed
7.
Hirao K, Miyazaki A, Fujimoto T, Isomoto I, Hayashi K. Evaluation of aberrant bile ducts before laparoscopic cholecystectomy: helical CT cholangiography versus MR cholangiography. Am J Roentgenol. 2000;175:713–20.CrossRef
8.
Hyodo T, Kumano S, Kushihata F, Okada M, Hirata M, Tsuda T, et al. CT and MR cholangiography: advantages and pitfalls in perioperative evaluation of biliary tree. Br J Radiol. 2012;85:887–96.CrossRefPubMedPubMedCentral
9.
Sugiura T, Nagino M, Kamiya J, Nishio H, Ebata T, Yokoyama Y, et al. Infraportal bile duct of the caudate lobe: a troublesome anatomic variation in right-sided hepatectomy for perihilar cholangiocarcinoma. Ann Surg. 2007;246:794–8.CrossRefPubMed
10.
Miyamoto R, Oshiro Y, Hashimoto S, Kohno K, Fukunaga K, Oda T, et al. Three-dimensional imaging identified the accessory bile duct in a patient with cholangiocarcinoma. World J Gastroenterol. 2014;20:11451–5.CrossRefPubMedPubMedCentral
11.
Ajay HB, Ashok DB, Girish DB, Vikas S. Right posterior branch draining into intra-pancreatic common duct: the triple duct sign. Updat Surg. 2010;62:199–202.CrossRef
12.
Takeishi K, Shirabe K, Yoshida Y, Tsutsui Y, Kurihara T, Kimura K, et al. Correlation between portal vein anatomy and bile duct variation in 407 living liver donors. Am J Transplant. 2015;15:155–60.CrossRefPubMed
13.
Mc Sweeney SE, Kim TK, Jang HJ, Khalili K. Biliary anatomy in potential right hepatic lobe living donor liver transplantation (LDLT): the utility of CT cholangiography in the setting of inconclusive MRCP. Eur J Radiol. 2012;81:6–12.CrossRef
14.
Varotti G, Gondolesi GE, Goldman J, Wayne M, Florman SS, Schwartz ME, et al. Anatomic variations in right liver living donors. J Am Coll Surg. 2004;198:577–82.CrossRefPubMed
15.
Chung YH, Kim DJ, Kim IG, Kim HJ, Chon SE, Jeon JY, et al. Relationship between the risk of bile duct injury during laparoscopic cholecystectomy and the types of preoperative magnetic resonance cholangiopancreaticography (MRCP). Korean J Hepatobiliary Pancreat Surg. 2012;16:17–23.CrossRefPubMedPubMedCentral
16.
Soderlund C, Frozanpol F, Linder S. Bile duct injuries at laparoscopic cholecystectomy: a single-institution prospective study. Acute cholecystitis indicates an increased risk. World J Surg. 2005;29:987–93.CrossRefPubMed
17.
Strasberg SM, Hertl M, Soper NJ. An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg. 1995;180:101–25.PubMed
18.
Debru E, Dawson A, Leibman S, Richardson M, Glen L, Hollinshead J, et al. Does routine intraoperative cholangiography prevent bile duct transection? Surg Endosc. 2005;19:589–93.CrossRefPubMed
19.
Halawani HM, Tamim H, Khalifeh F, Mailhac A, Jamali FR. Impact of intraoperative cholangiography on postoperative morbidity and readmission: analysis of the NSQIP database. Surg Endosc. 2016;30:5395–403.CrossRefPubMed
20.
Ding GQ, Cai W, Qin MF. Is intraoperative cholangiography necessary during laparoscopic cholecystectomy for cholelithiasis? World J Gastroenterol. 2015;21:2147–51.PubMedPubMedCentral
21.
Pesce A, Piccolo G, Greca GL, Puleo S. Utility of fluorescent cholangiography during laparoscopic cholecystectomy: a systematic review. World J Gastroenterol. 2015;21:7877–83.CrossRefPubMedPubMedCentral
22.
Ishii H, Noguchi A, Onishi M, Takao K, Maruyama T, Taiyoh H, et al. True left-sided gallbladder with variations of bile duct and cholecystic vein. World J Gastroenterol. 2015;21:6754–8.CrossRefPubMedPubMedCentral
Metadata
Title
Preoperative evaluation of accessory hepatic ducts by drip infusion cholangiography with CT
Authors
Hiromichi Ishii
Akinori Noguchi
Tomoyuki Fukami
Riho Sugimoto
Hiroyuki Tada
Hiroki Takeshita
Seiji Umehara
Hiroyuki Izumi
Naoki Tani
Masahide Yamaguchi
Tetsuro Yamane
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2017
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/s12893-017-0251-9

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