Ductoplasty for an aberrant hepatic duct in a choledochal cyst
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The confluence of the right and left hepatic ducts at the hepatic hilum frequently shows normal anatomic variations. Choledochal cysts (CC) are also accompanied by similar variations, and devices for free drainage of bile are occasionally required in biliary reconstruction. We present a CC that had an aberrant posterior branch of the right hepatic duct draining into the distal common hepatic duct. A capacious hepaticoduodenostomy at the hilum was performed after joining the hilar and aberrant ducts.
Key wordsDuctoplasty Anatomic variation Biliary reconstruction Choledochal cyst
- 1.Smadja C, Blumgart LH (1994) The biliary tract and the anatomy of biliary exposure. In: Blumgart LH (ed) Surgery of the liver and biliary tract, 2nd edn. Churchill Livingstone, Edinburgh, pp 11–24Google Scholar
- 2.Kida E, Uchimura M, Okamoto K (1987) Intrahepatic architecture of the bile duct and portal vein (in Japanese). Tan to Sui 8: 1–7Google Scholar
- 5.Todani T, Watanabe Y, Mizuguchi T, et al (1979) Hepaticoduodenostomy at the hepatic hilum after excision of choledochal cyst. Am J Surg 142: 584–587Google Scholar
- 7.Yamase H (1978) Cholangiographic studies of intrahepatic bile duct - analysis of anatomic pattern, and rigidity and dilation of the system as pathologic features (in Japanese). Jpn J Gastroenterol 75: 337–349Google Scholar