The Significance of Biliary Anatomical Variation as a Key Indicator in Laparoscopic Bile Duct Injuries

Authors

  • Anna Lauren Winter he University of Mississippi Medical center, Jackson, Mississippi, USA Author
  • Klara S Missling he University of Mississippi Medical center, Jackson, Mississippi, USA Author
  • Himmat S Brar he University of Mississippi Medical center, Jackson, Mississippi, USA Author
  • Faisal A Bukeirat The University of Mississippi Medical center, Jackson, Mississippi, USA Author

DOI:

https://doi.org/10.47363/JGHR/2024(5)169

Keywords:

Normal Biliary Anatomy, Cholecystectomy, Laparoscopic

Abstract

Introduction: The science of Gastrointestinal (GI) endoscopy is the science and art of millimeters that has marvelously evolved over the past 30 years. Cholecystectomy, most of which is done laparoscopically, is one of the most common procedures performed today (approximately 750,000 cases are performed annually in the USA) and is considered relatively safe. However, laparoscopic cholecystectomy is associated with bile duct injuries. Several studies examining bile duct injuries have found significant rates of complication (0.39%---1.5%, that comes roughly to over 3,000 patient per year). Therefore, bile duct injuries are commonly encountered, and a clear understanding of the extensive variation in biliary anatomy is imperative to appropriately and successfully manage this common clinical problem to ultimately provide the highest level of patient care.

Aim: To educate gastroenterologists, general surgeons, and Hepato-Pancreato-Biliary (HPB) surgeons regarding the definition of anatomical variation and its various anatomical markers.


Materials and Methods: A Survey research about our GI department in addition to an online research of published literature was made on PubMed, Ovid Medline, Science Direct, and Springer.


Results: This paper presents the various anatomical variations of the biliary tree which is critical in defining bile duct injuries during surgical hepatopancreato-biliary (HPB) procedures.

Author Biographies

  • Anna Lauren Winter, he University of Mississippi Medical center, Jackson, Mississippi, USA

    he University of Mississippi Medical center, Jackson, Mississippi, USA

  • Klara S Missling, he University of Mississippi Medical center, Jackson, Mississippi, USA

    he University of Mississippi Medical center, Jackson, Mississippi, USA

  • Himmat S Brar, he University of Mississippi Medical center, Jackson, Mississippi, USA

    he University of Mississippi Medical center, Jackson, Mississippi, USA

  • Faisal A Bukeirat, The University of Mississippi Medical center, Jackson, Mississippi, USA

    The University of Mississippi Medical center, Jackson, Mississippi, USA

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Published

2024-10-18

Issue

Vol. 5 No. 5 (2024): Volume 5 Issue 5

Section

Articles