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Inicio Cirugía Española (English Edition) Cholangiography: Rare Anatomical Variation of the Bile Duct
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Vol. 96. Issue 10.
Pages 654 (December 2018)
Vol. 96. Issue 10.
Pages 654 (December 2018)
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DOI: 10.1016/j.cireng.2018.11.003
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Cholangiography: Rare Anatomical Variation of the Bile Duct
Colangiografía: variante anatómica poco frecuente de la vía biliar
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Rodrigo Hernández
Corresponding author
rodrih27@hotmail.com

Corresponding author.
, Mauricio Pontillo, Javier Chinelli, Gustavo Rodríguez
Servicio Clínica Quirúrgica 2, Hospital Maciel, Montevideo, Uruguay
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We present a cholangiographic anatomical variation of the main bile duct discovered during laparoscopic cholecystectomy (Fig. 1). It is classified as type A5, according to the Huang classification: right posterolateral duct opens into the cystic duct (frequency of 1%). This variation has a high risk of bile duct injury. Cholangiography and achieving Strasberg's critical view of safety (Fig. 2) are fundamental elements for performing a safe cholecystectomy while minimizing the risk of iatrogenic injury to the main bile duct. Although cholangiography does not prevent these injuries, it can diagnose them intraoperatively for resolution during surgery.

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Please cite this article as: Hernández R, Pontillo M, Chinelli J, Rodríguez G. Colangiografía: variante anatómica poco frecuente de la vía biliar. Cir Esp. 2018;96:654.

Copyright © 2018. AEC
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