caa a22 4500 44588780X CHVBK 20180317145605.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1007/s00535-010-0281-x doi (NATIONALLICENCE)springer-10.1007/s00535-010-0281-x ENBD tube placement prior to laparoscopic cholecystectomy may reduce the rate of complications in cases with predictably complicating biliary anomalies [Elektronische Daten] [Takehiro Noji, Fumitaka Nakamura, Toru Nakamura, Kentaro Kato, On Suzuki, Yoshiyasu Ambo, Akihiro Kishida, Hiroyuki Maguchi, Satoshi Kondo, Nobuichi Kashimura] Background: The risk factors predisposing to bile duct injury or postoperative bile leakage associated with laparoscopic cholecystectomy (LC) include the presence of an accessory hepatic duct, the anomalous cystic duct confluence, and duct of Luschka. One method to prevent bile duct injury is preoperative placement of an endoscopic nasobiliary drainage tube (ENBD assisted LC). The aims of this investigation are first, to report the incidence of bile duct anomalies according to the classification system proposed by Wakayama Medical University and second, to evaluate the efficacy of ENBD assisted LC with regard to prevention of intraoperative bile duct injury and postoperative bile duct injury or leakage. Methods: A total of 1,835 consecutive LCs performed at our institution during a recent 10-year period were reviewed. Results: Anomalous cystic duct confluence was detected in 11 cases and an accessory hepatic duct was detected in 37 cases. These anomalies were risk factors for bile duct injury in our series. However, there was no significant difference in the length of surgery, conversion rate to laparotomy, or frequency of bile duct injury or leakage between the standard LC group and ENBD assisted LC group. Conclusion: A bile duct anomaly was seen in 2.6% of LC cases. Placement of an ENBD tube prior to LC in predictably complicating bile duct anomalies may have successfully decreased the incidence of complications. Springer, 2010 Laparoscopic cholecystectomy nationallicence Anomalous cystic duct nationallicence Accessory hepatic duct nationallicence Noji Takehiro Department of Surgery, Teine-Keijinkai Hospital, 1-12 Maeda, Teine-ku, 060-8585, Sapporo, Hokkaido, Japan aut Nakamura Fumitaka Department of Surgery, Teine-Keijinkai Hospital, 1-12 Maeda, Teine-ku, 060-8585, Sapporo, Hokkaido, Japan aut Nakamura Toru Department of Surgery, Teine-Keijinkai Hospital, 1-12 Maeda, Teine-ku, 060-8585, Sapporo, Hokkaido, Japan aut Kato Kentaro Department of Surgery, Teine-Keijinkai Hospital, 1-12 Maeda, Teine-ku, 060-8585, Sapporo, Hokkaido, Japan aut Suzuki On Department of Surgery, Teine-Keijinkai Hospital, 1-12 Maeda, Teine-ku, 060-8585, Sapporo, Hokkaido, Japan aut Ambo Yoshiyasu Department of Surgery, Teine-Keijinkai Hospital, 1-12 Maeda, Teine-ku, 060-8585, Sapporo, Hokkaido, Japan aut Kishida Akihiro Department of Surgery, Teine-Keijinkai Hospital, 1-12 Maeda, Teine-ku, 060-8585, Sapporo, Hokkaido, Japan aut Maguchi Hiroyuki Center for Gastroenterology, Teine-Keijinkai Hospital, 1-12 Maeda, Teine-ku, 060-8585, Sapporo, Hokkaido, Japan aut Kondo Satoshi Surgical Oncology, Hokkaido University, N15 W7, Kita-ku, 060-8638, Sapporo, Japan aut Kashimura Nobuichi Department of Surgery, Teine-Keijinkai Hospital, 1-12 Maeda, Teine-ku, 060-8585, Sapporo, Hokkaido, Japan aut Journal of Gastroenterology Springer Japan 46/1(2011-01-01), 73-77 0944-1174 46:1<73 2011 46 535 https://doi.org/10.1007/s00535-010-0281-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00535-010-0281-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Noji Takehiro Department of Surgery, Teine-Keijinkai Hospital, 1-12 Maeda, Teine-ku, 060-8585, Sapporo, Hokkaido, Japan aut NATIONALLICENCE 700 1- Nakamura Fumitaka Department of Surgery, Teine-Keijinkai Hospital, 1-12 Maeda, Teine-ku, 060-8585, Sapporo, Hokkaido, Japan aut NATIONALLICENCE 700 1- Nakamura Toru Department of Surgery, Teine-Keijinkai Hospital, 1-12 Maeda, Teine-ku, 060-8585, Sapporo, Hokkaido, Japan aut NATIONALLICENCE 700 1- Kato Kentaro Department of Surgery, Teine-Keijinkai Hospital, 1-12 Maeda, Teine-ku, 060-8585, Sapporo, Hokkaido, Japan aut NATIONALLICENCE 700 1- Suzuki On Department of Surgery, Teine-Keijinkai Hospital, 1-12 Maeda, Teine-ku, 060-8585, Sapporo, Hokkaido, Japan aut NATIONALLICENCE 700 1- Ambo Yoshiyasu Department of Surgery, Teine-Keijinkai Hospital, 1-12 Maeda, Teine-ku, 060-8585, Sapporo, Hokkaido, Japan aut NATIONALLICENCE 700 1- Kishida Akihiro Department of Surgery, Teine-Keijinkai Hospital, 1-12 Maeda, Teine-ku, 060-8585, Sapporo, Hokkaido, Japan aut NATIONALLICENCE 700 1- Maguchi Hiroyuki Center for Gastroenterology, Teine-Keijinkai Hospital, 1-12 Maeda, Teine-ku, 060-8585, Sapporo, Hokkaido, Japan aut NATIONALLICENCE 700 1- Kondo Satoshi Surgical Oncology, Hokkaido University, N15 W7, Kita-ku, 060-8638, Sapporo, Japan aut NATIONALLICENCE 700 1- Kashimura Nobuichi Department of Surgery, Teine-Keijinkai Hospital, 1-12 Maeda, Teine-ku, 060-8585, Sapporo, Hokkaido, Japan aut NATIONALLICENCE 773 0- Journal of Gastroenterology Springer Japan 46/1(2011-01-01), 73-77 0944-1174 46:1<73 2011 46 535 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer