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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

Stewart-Way classification.15
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Figure 2: Stewart-Way classification.15

Mentions: Bile duct injuries fall into four classes based on the Stewart-Way classification.15 Class I injury occurs when CBD is mistaken for the cystic duct, but the error is recognized before CBD is divided. Class II injuries involve damage to CHD from clips or cautery used too close to the duct. This often occurs in cases where visibility is limited due to inflammation or bleeding. Class III injury, the most common type, occurs when CBD is mistaken for the cystic duct. The common duct is transected and a variable portion including the junction of the cystic and common duct is excised or removed. Class IV injuries involve damage to the right hepatic duct (RHD), either because this structure is mistaken for the cystic duct, or because it is injured during dissection (Fig. 2). Both complex bileduct and vascular injuries were included in the Stewart-Way classification.


Recent classifications of the common bile duct injury.

Chun K - Korean J Hepatobiliary Pancreat Surg (2014)

Stewart-Way classification.15
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 2: Stewart-Way classification.15
Mentions: Bile duct injuries fall into four classes based on the Stewart-Way classification.15 Class I injury occurs when CBD is mistaken for the cystic duct, but the error is recognized before CBD is divided. Class II injuries involve damage to CHD from clips or cautery used too close to the duct. This often occurs in cases where visibility is limited due to inflammation or bleeding. Class III injury, the most common type, occurs when CBD is mistaken for the cystic duct. The common duct is transected and a variable portion including the junction of the cystic and common duct is excised or removed. Class IV injuries involve damage to the right hepatic duct (RHD), either because this structure is mistaken for the cystic duct, or because it is injured during dissection (Fig. 2). Both complex bileduct and vascular injuries were included in the Stewart-Way classification.

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