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Recent classifications of the common bile duct injury.

Chun K - Korean J Hepatobiliary Pancreat Surg (2014)

Bottom Line: However, the incidence rate of bile duct injury has not been changed for many years.From initial classification published by Bismuth, there have been many classifications of common bile duct injury.The initial classification, levels and types of bile duct injury, and currently combined vascular injuries are reviewed here.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Chungnam National University Hospital, Daejeon, Korea.

ABSTRACT
Laparoscopic cholecystectomy is now a gold standard treatment modality for gallstone diseases. However, the incidence rate of bile duct injury has not been changed for many years. From initial classification published by Bismuth, there have been many classifications of common bile duct injury. The initial classification, levels and types of bile duct injury, and currently combined vascular injuries are reviewed here.

No MeSH data available.


Related in: MedlinePlus

Strasberg classification.3,22 (A) Bile leak from cystic duct stump or minor biliary radical in gallbladder fossa. (B) Occluded right posterior sectoral duct. (C) Bile leak from divided right posterior sectoral duct. (D) Bile leak from main bile duct without major tissue loss. (E1) Transected main bile duct with a stricture more than 2 cm from the hilus. (E2) Transected main bile duct with a stricture less than 2 cm from the hilus. (E3) Stricture of the hilus with right and left ducts in communication. (E4) Stricture of the hilus with separation of right and left ducts. (E5) Stricture of the main bile duct and the right posterior sectoral duct.
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Figure 1: Strasberg classification.3,22 (A) Bile leak from cystic duct stump or minor biliary radical in gallbladder fossa. (B) Occluded right posterior sectoral duct. (C) Bile leak from divided right posterior sectoral duct. (D) Bile leak from main bile duct without major tissue loss. (E1) Transected main bile duct with a stricture more than 2 cm from the hilus. (E2) Transected main bile duct with a stricture less than 2 cm from the hilus. (E3) Stricture of the hilus with right and left ducts in communication. (E4) Stricture of the hilus with separation of right and left ducts. (E5) Stricture of the main bile duct and the right posterior sectoral duct.

Mentions: The Strasberg classification is a modification of the Bismuth classification, but allows differentiation between small (bile leakage from the cystic duct or aberrant right sectoral branch) and serious injuries performed during laparoscopic cholecystectomy as type A to D. Type E of the Strasberg classification is an analogue of the Bismuth classification.3 The Strasberg classification, summarized in Fig. 1, is very simple which can be easily applied to bile duct injuries. The major disadvantage of the Strasberg classification is that it does not describe additional vascular involvement at all. For this reason, the Strasberg classification could not demonstrate a significant association between the discrimination of specific injury patterns and the resection of liver tissues.


Recent classifications of the common bile duct injury.

Chun K - Korean J Hepatobiliary Pancreat Surg (2014)

Strasberg classification.3,22 (A) Bile leak from cystic duct stump or minor biliary radical in gallbladder fossa. (B) Occluded right posterior sectoral duct. (C) Bile leak from divided right posterior sectoral duct. (D) Bile leak from main bile duct without major tissue loss. (E1) Transected main bile duct with a stricture more than 2 cm from the hilus. (E2) Transected main bile duct with a stricture less than 2 cm from the hilus. (E3) Stricture of the hilus with right and left ducts in communication. (E4) Stricture of the hilus with separation of right and left ducts. (E5) Stricture of the main bile duct and the right posterior sectoral duct.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4492327&req=5

Figure 1: Strasberg classification.3,22 (A) Bile leak from cystic duct stump or minor biliary radical in gallbladder fossa. (B) Occluded right posterior sectoral duct. (C) Bile leak from divided right posterior sectoral duct. (D) Bile leak from main bile duct without major tissue loss. (E1) Transected main bile duct with a stricture more than 2 cm from the hilus. (E2) Transected main bile duct with a stricture less than 2 cm from the hilus. (E3) Stricture of the hilus with right and left ducts in communication. (E4) Stricture of the hilus with separation of right and left ducts. (E5) Stricture of the main bile duct and the right posterior sectoral duct.
Mentions: The Strasberg classification is a modification of the Bismuth classification, but allows differentiation between small (bile leakage from the cystic duct or aberrant right sectoral branch) and serious injuries performed during laparoscopic cholecystectomy as type A to D. Type E of the Strasberg classification is an analogue of the Bismuth classification.3 The Strasberg classification, summarized in Fig. 1, is very simple which can be easily applied to bile duct injuries. The major disadvantage of the Strasberg classification is that it does not describe additional vascular involvement at all. For this reason, the Strasberg classification could not demonstrate a significant association between the discrimination of specific injury patterns and the resection of liver tissues.

Bottom Line: However, the incidence rate of bile duct injury has not been changed for many years.From initial classification published by Bismuth, there have been many classifications of common bile duct injury.The initial classification, levels and types of bile duct injury, and currently combined vascular injuries are reviewed here.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Chungnam National University Hospital, Daejeon, Korea.

ABSTRACT
Laparoscopic cholecystectomy is now a gold standard treatment modality for gallstone diseases. However, the incidence rate of bile duct injury has not been changed for many years. From initial classification published by Bismuth, there have been many classifications of common bile duct injury. The initial classification, levels and types of bile duct injury, and currently combined vascular injuries are reviewed here.

No MeSH data available.


Related in: MedlinePlus