Comparative efficacy of various endoscopic techniques for the treatment of common bile duct
stones: a network meta-analysis.
The right and left hepatic ducts come from their respective segments in the liver and join in the porta hepatis ('the doorway to the liver') to form the common hepatic duct, to which the cystic duct is later attached to form the common bile duct
or common bile duct
Diverticula occur at weak spots in the duodenal wall such as the site of entry of the common bile duct
, pancreatic duct and perivascular connective tissue sheath.
Reported cases of primary Langerhans cell histiocytosis of the biliary system Case Age Sex Clinical presentation Clinical Focality of (years) association the mass 1 2.5 Female Obstructive jaundice, Primary Solitary (10) hepatosplenomegaly, sclerosing ascites, pruritus cholangitis Our 62 Female Obstructive jaundice, Primary Solitary case nausea and vomiting, sclerosing dark urine, weight cholangitis loss Case Positive Treatment Recurrences Follow-up immunochemistry /metastasis (months) markers 1 CD1a, S100 Liver None Alive, 2 (10) transplantation years Our CD1a, S100, CD68 Common bile duct
None Died of case resection+cladribine sepsis, 14 months
Our two years study could not include patients presenting with late PCS, some of the causes of which are recurrent stones in common bile duct
and rarely in cystic stump remnant19,20 and also late strictures caused by mild injury to the common bile duct
during surgery leading to fibrosis overtime.
In recent years, in many large medical centers in China, extended radical resection, including hepatopancreatoduodenectomy (HPD), has been performed for patients with advanced gallbladder carcinoma that invades the common bile duct
, duodenum, and portal vein, but with no distant metastasis.
Frederick Kiechle, MD, and colleagues reported that alkaline phosphatase levels, either alone or in conjunction with bilirubin levels, were not useful in determining the presence of common bile duct
Tumours causing distal malignant biliary obstruction may arise in the head of the pancreas, duodenum, ampulla or distal common bile duct
. Pancreatic cancers account for about two thirds of these cases, followed by ampullary cancers (about 20%) and distal cholangiocarcinomas (15%).
Intraoperatively, we found that the CD drained into the right hepatic duct rather than directly through the common bile duct
, which is a very rare anatomic variation.
Martinez Isla, "Laparoscopic Common Bile Duct
Endoscopic sphincterotomy (EST) is a well-established standard method for extraction of common bile duct
Stuart, "Percutaneous cystic duct stent placement for the treatment of acute cholecystitis resulting from common bile duct
placement for malignant obstruction," Journal of Vascular and Interventional Radiology, vol.