Surgical implications of the confluence patterns of the left intrahepatic bile ducts in right hepatectomy for perihilar cholangiocarcinoma

2021 ◽  
Author(s):  
Isamu Hosokawa ◽  
Katsunori Furukawa ◽  
Tsukasa Takayashiki ◽  
Satoshi Kuboki ◽  
Shigetsugu Takano ◽  
...  
Keyword(s):  
Bile Ducts ◽  
Perihilar Cholangiocarcinoma ◽  
Right Hepatectomy ◽  
Intrahepatic Bile Ducts

Cystadenomata of the Pancreas and Intrahepatic Bile Ducts

1951 ◽  
Vol 19 (3) ◽  
pp. 568-574 ◽  
Author(s):  
Madeline K. Keech
Keyword(s):  
Bile Ducts ◽  
Intrahepatic Bile Ducts

scholarly journals Improved Visualization of Intrahepatic Bile Ducts by Endoscopic Retrograde Balloon Catheter Cholangiography

1981 ◽  
Vol 194 (2) ◽  
pp. 171-175 ◽  
Author(s):  
SEIYO IKEDA ◽  
MASAO TANAKA ◽  
HIDEO YOSHIMOTO ◽  
HIDEAKI ITOH ◽  
FUMIO NAKAYAMA
Keyword(s):  
Bile Ducts ◽  
Balloon Catheter ◽  
Endoscopic Retrograde ◽  
Intrahepatic Bile Ducts

Navigating the Hilum: Utility of a Steerable Catheter for Selective Cannulation of Intrahepatic Bile Ducts

2005 ◽  
Vol 61 (5) ◽  
pp. AB204 ◽  
Author(s):  
Ali Fazel ◽  
Peter Draganov ◽  
Koorosh Moezardalan ◽  
Behzad Kalaghchi ◽  
Christopher Forsmark
Keyword(s):  
Bile Ducts ◽  
Intrahepatic Bile Ducts ◽  
Selective Cannulation

Prevention of structural changes in liver in patients with chronic acalculous cholecystitis

2021 ◽  
pp. 21-24
Author(s):  
M. V. Pecherskikh Pecherskikh ◽  
L. I. Efremova
Keyword(s):  
Functional State ◽  
Bile Ducts ◽  
Structural Changes ◽  
Acalculous Cholecystitis ◽  
Hepatoprotective Effect ◽  
Intrahepatic Bile Ducts ◽  
Complex Therapy ◽  
Chronic Acalculous Cholecystitis ◽  
Hepatobiliary Tract

Chronic acalculous cholecystitis is the cause of violations of the functional state of the liver in the form of stagnation in the intrahepatic bile ducts and a decrease in the activity of hepatocytes and is considered within the framework of a single pathology of the hepatobiliary tract. Complex therapy with the inclusion of the drug ademetionine, which in addition to the hepatoprotective effect affects the outflow of intrahepatic bile, contributes to the restoration of the detected violations.

Perfused rat intrahepatic bile ducts secrete and absorb water, solute, and ions

2000 ◽  
Vol 119 (6) ◽  
pp. 1672-1680 ◽  
Author(s):  
Anatoly I. Masyuk ◽  
Ai–Yu Gong ◽  
Sertac Kip ◽  
Michael J. Burke ◽  
Nicholas F. LaRusso
Keyword(s):  
Bile Ducts ◽  
Intrahepatic Bile Ducts

Ultrasonographic Identification of Dilated Intrahepatic Bile Ducts and their Differentiation from Portal Venous Structures

1978 ◽  
pp. 173-176
Author(s):  
Faye C. Laing ◽  
Linda McKay London ◽  
Roy A. Filly
Keyword(s):  
Bile Ducts ◽  
Intrahepatic Bile Ducts

scholarly journals Anomalous choledocho-pancretic ductal junction in a choledochal cyst: A case report

2004 ◽  
Vol 132 (5-6) ◽  
pp. 179-181
Author(s):  
Miodrag Jovanovic ◽  
Dragoljub Bilanovic ◽  
Radoje Colovic ◽  
Nikica Grubor ◽  
Milenko Ugljesic
Keyword(s):  
Bile Duct ◽  
Choledochal Cyst ◽  
Bile Ducts ◽  
Postoperative Recovery ◽  
Biliary Colic ◽  
Duodenal Wall ◽  
Choledochal Cysts ◽  
Bile Duct Wall ◽  
Intrahepatic Bile Ducts ◽  
Inflammatory Changes

Choledochal cysts are rare congenital anomalies, mostly detected in adults. Pathogenesis of these cysts seems to be in anomalous junction between pancreatic and common bile duct, above the papillary sphincterand outside of the duodenal wall. The absence of the sphincter above the junction is followed by reflux of the pancreatic juice into the bile duct leading to dilatation and fibrous changes of bile duct wall. A 38-year-old female is presented in whom a choledochal cyst was found 11 years earlier, during the operation performed for obstructive jaundice, when cystojejunostomy with Roux-en Y jejunal limb was carried out. In February 1990, she was admitted to our Institution for jaundice and biliary colic. The patient was reoperated. Operative cholangiography showed an anomalous pancreatobiliary junction, choledochal cyst, dilated cystic duct and moderate dilatation of intrahepatic bile ducts. Cholecystectomy, desanastomosis with partial excision of choledochal cyst, and retrocolic choledochojejunostomy with the same Roux-en-Y jejunal limb were performed. Total excision of choledochal cyst was too risky due to chronic inflammatory changes in the hepatoduodenal ligament. Postoperative recovery was uneventful and the patient remained symptom-free so far.

scholarly journals For the 30th anniversary of laparoscopic cholecystectomy: problems remain

2019 ◽  
Vol 100 (3) ◽  
pp. 537-541
Author(s):  
I V Fedorov ◽  
A N Chugunov ◽  
L E Slavin ◽  
D A Slavin ◽  
V I Fedorov
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Ducts ◽  
Perioperative Complications ◽  
Open Cholecystectomy ◽  
Intrahepatic Bile Ducts ◽  
Negative Effect ◽  
Iatrogenic Damage ◽  
Extrahepatic Bile Ducts ◽  
Legal Costs

The review describes perioperative complications of laparoscopic cholecystectomy. Over the past 30 years, laparoscopy has become the «gold standard» for cholecystectomy and one of the most frequently performed procedures in abdominal surgery. Nevertheless, despite the advantages of the method, it has an «Achilles heel» - the frequency of iatrogenic damage to the extrahepatic bile ducts is 3-5 times higher than with an open cholecystectomy. This complication has a negative effect on the survival of patients after surgery, leads to deterioration in the quality of life and is a major source of legal costs in many countries. In general, the total range for any damage to the biliary tract during laparoscopic cholecystectomy is 0.32-0.52%, while the complication rate and mortality rate are 1.6-5.3% and 0.08-0.14%, respectively. Patients who have undergone a complete intersection of the hepaticoholedochus, become «bile cripples» for life. Recurrent cholangitis, strictures of anastomoses with a possible outcome in liver cirrhosis are quite likely in later periods after damage to the intrahepatic bile ducts. Technological efforts to improve the results of laparoscopic cholecystectomy reside. These include the routine use of intraoperative cholangiography, infrared fluorescent cholangiography, etc. Nevertheless, despite the growing number of methods designed to reduce these complications, evidence of their effectiveness remains limited. The most important factors ensuring the safety of laparoscopic cholecystectomy are recognized: understanding of anatomy, adequate exposure when using electrosurgery, psychological readiness to invite a senior colleague in time for help, the ability to recognize a situation that requires conversion and rejection of laparoscopy.

scholarly journals Hepatocholescintigraphy in diagnosis of functional state of biliodigestive anastomoses

2019 ◽  
Vol 24 (1) ◽  
pp. 53-60
Author(s):  
Yu. V. Kulezneva ◽  
L. V. Bondar ◽  
E. A. Vasina ◽  
M. B. Boboeva ◽  
P. M. Cholak ◽  
...  
Keyword(s):  
Biliary Tract ◽  
Functional State ◽  
Bile Flow ◽  
Bile Ducts ◽  
Diagnostic Value ◽  
Bowel Anastomosis ◽  
Biliodigestive Anastomosis ◽  
Intrahepatic Bile Ducts ◽  
Highly Effective ◽  
Flow Through

Aim. To identify diagnostic value of hepatocholescintigraphy for evaluation of functional state of biliodigestive anastomoses (BDA).Material and methods. 99mTc-IDA hepatocholescintigraphy was applied in 52 patients to evaluate function of biliodigestive anastomoses.Results. Scintigraphic signs of “bowel-anastomosis” and/or “BDA-intrahepatic bile ducts” reflux were revealed in 14 (27%) cases. Obstruction of biliodigestive anastomosis occurred in 3 (5.7%) patients. Normal bile flow through BDA was observed in 10 (19.2%) patients, impaired passage – in 21 (40.3%) cases. Tracer delay in intrahepatic bile ducts was noted in 21 (25.0%) cases, signs of adhesive process near deferent bowel – in 3 (3.8%) cases.Conclusion. Hepatocholescintigraphy is highly effective method to assess biliary tract in patients after Roux-en-Y biliodigestive anastomoses formation.

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