Catalano

Daniel V. Kostov

Georgi L. Kobakov

Ohkubo

Strasberg

PubMed

Crossref

Accessory right hepatic duct in which a cystic duct drains

Kostov, Daniel V.

Kobakov, Georgi L.

Elsevier - Publisher Connector 

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Accessory right hepatic duct in which a cystic duct drains
Daniel V. Kostov1 & Georgi L. Kobakov2
1Department of Surgery, Naval Hospital of Varna, and 2Division of Surgery, Marko Markov Interregional Dispensary and Hospital of Oncological Diseases of
Varna, Varna, Bulgaria
Correspondence
Daniel V. Kostov, Naval Hospital of Varna, Department of Surgery, 3 Hristo Smirnenski Street, BG-9010 Varna, Bulgaria. Tel: +359 888
954 829; Fax: +359 52 302650; E-mail: danielkostov@abv.bg
There exist numerous anatomic bile duct variations1,2 and an
aberrant right hepatic duct which drains the right hepatic lobe
directly into the extrahepatic bliary tree occurs in 3.2–18.0% of
patients.3 The rare anatomical variation of an accessory right
hepatic duct into which a cystic duct drains (Fig. 1) was encoun-
tered during surgery for obstructive jaundice as a result of an
echinococcic cyst. Detailed knowledge of such a variation is of
importance in liver resection and transplantation. Furthermore,
such an accessory duct may be liable to inadvertent transection or
ligation during cholecystectomy.
References
1. Ohkubo M, Nagino M, Kamiya J, Yuasa N, Oda K, Arai T et al. (2004)
Surgical anatomy of the bile ducts at the hepatic hilum as applied to living
donor liver transplantation. Ann Surg 239:82–86.
2. Strasberg SM, Helton WS. (2011) An analytical review of vasculobiliary
injury in laparoscopic and open cholecystectomy. HPB 13:1–14.
3. Catalano O, Singh A, Uppot R, Hahn P, Ferrone C, Sahani D. (2008)
Vascular and biliary variants in the liver: implications for liver surgery.
Radiographics 28:359–378.
Figure 1 Accessory right hepatic duct1 into which the cystic duct
drains. The accessory right hepatic duct drains extrahepatically into
the common bile duct. CHD, common hepatic duct; CD, cystic duct
DOI:10.1111/j.1477-2574.2011.00294.x HPB
HPB 2011, 13, 364 © 2011 International Hepato-Pancreato-Biliary Association


Accessory right hepatic duct in which a cystic duct drains 

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Accessory right hepatic duct in which a cystic duct drains

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