2023 Volume 37 Issue 2 Pages 239-245
A 54-year-old woman was referred to our hospital due to abdominal pain. We performed laparoscopic cholecystectomy for gallblader stone. Preoperatively, there was no indication of cholecystohepatic duct. The white cord-like material connecting the gallbladder neck and bed was detected in calot's triangle area. Considering that this cord consisted of a cystic artery, we divided it. However, bile on the cut end of the cord indicated a cholecystohepatic duct injury (transected biliary injury). We performed biliary abration for cholecystohepatic duct, because of a part of S5 drainage area in cholangiograhy. The postoperative course was uneventful, and the patient was discharged on postoperative day 11. At 6 months of follow-up image, there was lipiodol accumlation and no dilated bile duct or abscess in the liver remnant. We report a case of biliary abration for cystohepatic duct injury during laparoscopic cholecystectomy.
