What does the bismuth classification of bile duct injuries describe?

Bismuth classification Up to now, a number of classifications have been proposed by different authors. The Bismuth classification is a simple classification based on the location of the injury in the biliary tract. This classification is very helpful in prognosis after repair.

Which is the most common type of bile duct injury?

Class III injuries are the most common type, occurring in 60% of cases. Subdivision class IIIa injuries have a remnant of common hepatic duct, while class IIIb involves transection at the junction of the cystic duct-CHD.

What happens if the common bile duct is cut?

A cut or clipped bile duct is serious form of medical malpractice that can have devastating consequences for the patient. A cut bile cut can cause jaundice, intense stomach pain, cholangitis (i.e. an infection of the bile ducts) and a host of other awful side effects.

What is the common bile duct divisions?

The bile ducts are generally divided into the intrahepatic and extrahepatic portions. The intrahepatic ducts run in the portal triads with the portal veins and hepatic arteries. The right and left hepatic ducts are anterior to the adjacent portal veins.

What is Roux-en-Y Hepaticojejunostomy?

What is hepaticojejunostomy? A hepaticojejunostomy, or Roux-en-Y procedure, bypasses the bile duct to allow digestive juices to drain from the liver directly into the small intestine. The hepatic duct is the tubular channel that carries bile from the liver to the small intestine to aid digestion.

How common are bile duct injuries?

The numbers vary by study. Some estimate that bile duct injuries occur in 1 in 1,000 cases of laparoscopic gallbladder surgery. They appear to occur less often in open surgeries.

Is common bile duct intrahepatic or extrahepatic?

The extrahepatic bile ducts are outside the liver. The extrahepatic ducts include the part of the right and left hepatic ducts that are outside the liver, the common hepatic duct and the common bile duct.

Is common hepatic duct and bile duct same?

A tube that carries bile from the liver. It starts where the right and left hepatic (liver) ducts join outside the liver. It ends where the cystic duct from the gall bladder joins it to form the common bile duct.