Biliary Peritonitis For Duct of Luschka Bile Leak After Laparoscopic Cholecystectomy

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10 months ago
General Surgery

Case description

The possible reasons for bile leakage following laparoscopic cholecystectomy are the injury of the common bile duct, the insufficient treatment of cystic duct (non competent or non closing, or spontaneously removing clip, stumpnecrosis due to electrocoagulation near to clipp, rupture adjacent to the clipp) or the opening of an aberrant bile duct. The latter often may occur in case of the anatomic variation described by Hubert von Luschka (1820-1875) a German anatomist as the duct named after Luschka. In a favorable case the accessory bile duct closes by itself, but occasionally developing biloma and/or biliary peritonitis need to be operated on.  

tags: laparoscopic cholecystectomy Luschka injury of the common bile duct CBD injury surgical video case bile leakage common bile duct injury cystic duct electrocoagulation Hubert von Luschka surgical anatomy biliary peritonitis biloma surgical eLearning

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