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1

Sharma, Rupesh, Sumnima Acharya, and Alina Sharma. "Magnetic Resonance Cholangiopancreatography Evaluation of Intrahepatic Biliary Tree Variants in Nepalese Population based on Yoshida classification." Med Phoenix 6, no. 2 (2022): 30–34. http://dx.doi.org/10.3126/medphoenix.v6i2.42694.

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Introduction
 The meticulously arranged hierarchical structure of the biliary tree is pivotal for liver function. This biliary tree is divided into intra and extrahepatic components. The anatomic variations of the biliary tree are notoriously common with studies reporting variations in 20% to 55% of the population in different parts of the world. This may result in misdiagnosis and serious injury to the biliary system during surgical procedures. Thus, accurate knowledge of the biliary tree is essential for the interpretation of radiological examination and presurgical planning for hepatob
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International, Journal of Medical Science and Innovative Research (IJMSIR). "An Observational Study on Evaluation of Intrahepatic Biliary Tree Anatomy and Its Variation by Magnetic Resonance Cholangiopancreatography." International Journal of Medical Science and Innovative Research (IJMSIR) 9, no. 5 (2024): 110–21. https://doi.org/10.5281/zenodo.15436429.

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<strong>Abstract</strong> <strong>Introduction:</strong> The biliary tree's complex anatomy with its intrahepatic and extrahepatic components presents numerous variations, necessitating a thorough understanding for successful hepatobiliary surgeries. Magnetic Resonance Cholangiopancreatography (MRCP) has emerged as a crucial non-invasive imaging technique for assessing pancreaticobiliary disorders, offering detailed anatomical visualization. <strong>Objectives</strong>: This study aimed to estimate the prevalence of various biliary tree variations and classify intrahepatic biliary tree variati
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Shubhangi, Tiwari, Kumar Sharma Om, Seth Sharad, and Singh Rathore Abhishek. "Complications of Laparoscopic Cholecystectomy in Relation to the Normal Anatomy and Variations in the Extrahepatic Biliary Tree and Vascular Anatomy: A Cross Sectional Study." International Journal of Pharmaceutical and Clinical Research 16, no. 8 (2024): 26–30. https://doi.org/10.5281/zenodo.13380727.

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<strong>Introduction:</strong>&nbsp;Laparoscopic cholecystectomy is a common surgical procedure for the management of symptomatic cholelithiasis. However, complications can occur during the surgery, when there are anomalies in the extrahepatic biliary tree and vascular anatomy.&nbsp;<strong>Aim</strong><strong>:</strong>&nbsp;This study was done to document the complications of laparoscopic cholecystectomy in relation to the normal anatomy and variations in the extrahepatic biliary tree and vascular anatomy.&nbsp;<strong>Material and Methods:</strong>&nbsp;A cross-sectional study was conducted
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Kastanaki, Pagona, and Evangelos Lolis. "A unique case of combined variations of the cystic artery and biliary tree complicating the management of acute cholecystitis." European Journal of Anatomy 27, no. 2 (2023): 209–12. http://dx.doi.org/10.52083/nfcw2491.

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Anatomic variations of the biliary tree and/or the vascular supply of the gallbladder pose challenges in the surgical management of diseases and conditions of the liver-biliary tree and the pancreas. A patient with acute cholecystitis underwent imaging investigation preoperatively with computed tomography of the abdomen and magnetic resonance cholangiopancreatography, which revealed a unique combination of variations: the cystic artery originated from the superior mesenteric artery and the right posterior sectoral duct drained at the same point with cystic duct to the common hepatic duct. The
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Sanjay, Kumar Sah1 *. Himal Panth2 and Ying Xiong Wang3. "Morphometric Analysis of Common Bile Duct: A Cadaveric Study." Journal of Biomedical Research & Environmental Sciences 2, no. 2 (2021): 064–68. https://doi.org/10.37871/jbres1190.

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Introduction: Though human beings look similar in their general anatomical appearances but during the investigation of a particular structure in detail, it is surprising how frequently we meet one sort or another type of variation. Literature reports that accurate dimensions of CBD are debatable. Therefore, determination of a spontaneous abnormality or atypical variation is important and reference range plays a significant role to classify the normal or abnormal duct. Materials and Methods: A total of thirty (30) cadavers were dissected at MGM Medical College Mumbai, India from Jan 2012 to Mar
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Iftikhar, Shazia, Falak Naz, Zainab Rehman, Nazish Waheed, Maryam Ijaz, and Sarah Rehman. "ANATOMICAL VARIATIONS IN CYSTIC DUCT OBSERVED IN PATIENTS DURING OPEN CHOLECYSTECTOMY AT HAYATABAD MEDICAL COMPLEX, PESHAWAR." JOURNAL OF KHYBER COLLEGE OF DENTISTRY 14, no. 2 (2024): 25–28. http://dx.doi.org/10.33279/jkcd.v14i2.677.

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Objectives: To dermine the type of morphology of the cystic duct and to file the occurrence of anatomical variations in the people of Khyber Pakhtunkhwa.Materials and Methods: This was a descriptive study having a total number of 220 patients were selected for the study undergoing open cholecystectomy. This includ- ed both female and male cases. All patients were operated by open cholecystectomy procedure. During the surgicalprocedure Calot’s triangle was identifi ed and the junction of cystic duct with the common hepatic duct was carefully observed and any variation in the morphology of cysti
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Koshariya, Mahim, Sheikh Behram, Jay Prakash Singour, Shashikant Tiwari, and Vidhu Khare. "Anomalous anatomical variation in extrahepatic biliary tree and pancreas and its related vessels: a cadaveric study." International Surgery Journal 6, no. 9 (2019): 3111. http://dx.doi.org/10.18203/2349-2902.isj20193658.

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Background: Congenital anamolies of extrahepatic biliary apparatus and pancreas have long been recognized and are of clinical importance because when present may surprise the surgeon during surgery and lead to iatrogenic injuries. Surgeries on extra-hepatic biliary apparatus and pancreas are regularly performed throughout the world. Thus insight into the normal anatomy and congenital variations will reduce complication and definitely improve outcome.Methods: Study was conducted in department of surgery GMC Bhopal and dissection was carried out in Department of Forensic Medicine on 100 cadavers
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Amit, Chhikara, Gupta Anurakshat, Trehan Vikram, and Mohan Hari. "A Study of Anatomical Variations of Extrahepatic Biliary System by Pre-operative Magnetic Resonance Cholangio-Pancreatography and that Encountered during Laparoscopic Cholecystectomy: A Prospective Observational Study." International Journal of Current Research and Review 14, no. 08 (2022): 47–53. http://dx.doi.org/10.31782/ijcrr.2022.14808.

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Introduction: The variations in cystic duct anatomy are of considerable importance during surgical excision of the gallbladder (cholecystectomy). Preoperative MRCP assessment of possible anatomical variations helps the surgeon to formulate appropriate strategies and operative planning. Objective: To assess the usefulness of pre-operative MRCP assessment of anatomical variations of extra-hepatic biliary tree in surgical planning and validate the MRCP findings with surgical findings. Material and Method: A total 120 patients of ultrasonography proven gallstone disease were included in the study,
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Kumar, Parveen. "The Umbilico-Bilious Fistula: A Diagnostic Challenge." Journal of Clinical Surgery and Research 4, no. 1 (2023): 01–03. http://dx.doi.org/10.31579/2768-2757/063.

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Background: Hepato-biliary system is known for congenital variations. An acquired entity secondary to a pathology/infection is a rare phenomenon. Case: A 3 months old baby presented with bilious leak from peritoneum secondary to complicated umbilical sepsis. On further work up, a fistulous communication was found between umbilical ligament and biliary tree. Conclusion: Umbilico-bilious fistulization is a rare presentation of umbilical sepsis. It should be kept in mind while dealing with umbilical sepsis cases.
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Majeed, Abdul, Mohammad Kamran Ch, Mohmmad Zakir, and Tayyab Abbas. "Compound type-dual blood supply to Gallbladder revealed during Laproscopic Cholecystectomy." Journal of Aziz Fatimah Medical & Dental College 4, no. 1 (2022): 42–43. http://dx.doi.org/10.55279/jafmdc.v4i1.185.

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SUMMARYDuring the laparoscopic cholecystectomy, a rare variation was found in a female patient. There was a large vessel exiting from liver parenchyma to gall bladder directly. It was pulsating; so was an unusual artery. The cystic artery was present properly at its usual anatomical site in Callot's triangle. The knowledge of these vascular variations is very significant in surgical interventions involving the biliary tree. It is of key importance for laparoscopic surgeons to know like this vascular variation to avoid catastrophic bleeding.The report emphasizes the vascular variation and the a
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Lamah, M., N. D. Karanjia, and G. H. Dickson. "Anatomical variations of the extrahepatic biliary tree: Review of the world literature." Clinical Anatomy 14, no. 3 (2001): 167–72. http://dx.doi.org/10.1002/ca.1028.

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Valero-Liñán, Antonio Serafin, Toni I. Stoyanov, Alba Sanchez-Gallego, et al. "Double Cystic Duct as Rare Anatomic Variant." Journal of Biomedical and Clinical Research 12, no. 1 (2019): 69–71. http://dx.doi.org/10.2478/jbcr-2019-0011.

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Summary The variations of the cystic duct are so common that only 30% of all humans present the classical anatomical arrangement between the common bile duct (CBD), the cystic duct, and adjacent arteries. Thus, it could be considered that anomalies of the biliary tree are a rule rather than an exception. Duplication of the cystic duct, however, is a very uncommon anatomical finding. In the Department of General and Digestive Surgery of the University Hospital Complex Albacete, a 73-year-old patient was admitted with symptoms of cholangitis. He underwent emergency surgery that found exacerbated
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Gautam, Mahesh, Robinson Shrestha, Bipin Khanal, and Sameen Khatiwada. "Study of Anatomical Variation of Intrahepatic Biliary Tree by Magnetic Resonance Cholangiopancreatography in Patients Attending Tertiary Hospital of Eastern Nepal." Journal of Nobel Medical College 13, no. 1 (2024): 25–29. http://dx.doi.org/10.3126/jonmc.v13i1.68098.

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Background: There are several variations in the complex anatomy of intrahepatic bile ducts. Magnetic resonance cholangiopancreatographyis a safer imaging modality that effectively shows these variations, aiding in surgical planning and preventing iatrogenic injuries. This study aims to evaluate these anatomical variations using magnetic resonance cholangiopancreatography. Materials and Methods: This cross-sectional prospective study was performed in the Radiology Department of Nobel Medical College for one year using a convenient sampling technique. A total of 165 cases meeting the inclusion c
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Ania Javed, Humaira Riaz, Zainab Riaz, et al. "Frequency of bile duct variant anatomy on MRCP on 3.0t in liver donors." Professional Medical Journal 31, no. 09 (2024): 1361–67. http://dx.doi.org/10.29309/tpmj/2024.31.09.8246.

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Objective: To determine the frequency of bile duct variant using magnetic resonance cholangiopancreatography (MRCP) on a magnetic field strength of 3.0 Tesla in liver donors. Study Design: Descriptive Cross-sectional study. Setting: Department of Radiology, Armed Forces Institute of Radiology and Imaging, Military Hospital Rawalpindi. Period: May 2019 to November 2019. Methods: The research comprised people who went to the hospital for magnetic resonance cholangiopancreatography. 85 liver transplant recipients between the ages of 20 and 70 were chosen for the research. According to Yoshida cat
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Shanmugam, Giridharan, and Sudhakar Natarajan. "Anomalous Insertion of the Cystic Duct into the Right Hepatic Duct: A Rare Presentation." Annals of Minimal Access Surgery & Allied Science 1, no. 1 (2025): 36–37. https://doi.org/10.4103/amas.amas_2_23.

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Abstract Laparoscopic cholecystectomy is one of the most frequently performed procedures using minimally invasive techniques. Typically, the cystic duct joins the common hepatic duct; however, in rare cases, it may drain into the right hepatic duct. We report a case of a 45-year-old woman with cholelithiasis, in which the cystic duct was found to join the right hepatic duct, an anatomical variation observed in only 0.3%–0.4% of cases. Although preoperative imaging techniques, such as magnetic resonance cholangiopancreatography or endoscopic retrograde cholangiopancreatography can assist in ide
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Cawich, Shamir O., Alexander Sinanan, Rahul R. Deshpande, Michael T. Gardner, Neil W. Pearce, and Vijay Naraynsingh. "Anatomic variations of the intra-hepatic biliary tree in the Caribbean: A systematic review." World Journal of Gastrointestinal Endoscopy 13, no. 6 (2021): 170–83. http://dx.doi.org/10.4253/wjge.v13.i6.170.

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Hussein, Ahmed Mohamed, Samer Malak Botros, Ahmed Hussein Abdelhafez, and Mohamed Mahfouz. "Biliary tree variations as viewed by intra-operative cholangiography – Comparing Egyptian versus international data." Egyptian Journal of Radiology and Nuclear Medicine 47, no. 4 (2016): 1283–92. http://dx.doi.org/10.1016/j.ejrnm.2016.07.003.

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Umugwaneza, Nathalie, Fidele Byiringiro, Paul Ndahimana, et al. "Unusual anatomical variations of the hepatic arteries and bile ducts: What are the surgical implications." African Health Sciences 22, no. 3 (2022): 697–702. http://dx.doi.org/10.4314/ahs.v22i3.74.

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Introduction: The knowledge of anatomy is essential for surgical safety and impacts positively on patients’ outcomes. Surgeons operating on the liver and bile ducts should keep in mind the normal anatomy and its variations as the latter are common.&#x0D; Case Presentation: We conducted a structured surgical dissection course of the supra-colic compartment of the abdominal cavity on 2nd and 3rd October 2020. While dissecting a 46years-old male cadaver, we encountered unusual anatomical variations of the hepatic arterial branching, the biliary tree, and arterial supply to the common bile duct. T
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Khatiwada, Sushma, Budhi Nath Adhikari, and Iju Shrestha. "ANATOMICAL VARIATION OF INTRAHEPATIC BILIARY DUCT IN CADAVERIC LIVER." Journal of Chitwan Medical College 9, no. 4 (2019): 11–14. http://dx.doi.org/10.54530/jcmc.82.

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Background: Hepatobiliary system has many variations. Use of cadavers, intraoperative data and various imaging modalities are the commonly employed techniques for determining the anatomy of intrahepatic bile ducts. The vivid picture of hepatobiliary system is a must for hepatobiliary surgery and identification of frequency distribution of typical and atypical pattern and different types of atypical pattern are vital. This study aimed to uncover its frequency distribution and also to recognize the variations therein.&#x0D; Methods: An observational study was conducted in the Department of Anato
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Khatiwada, Sushma, Budhi Nath Adhikari, and Iju Shrestha. "Anatomical variation of intrahepatic biliary duct in cadaveric liver." Journal of Chitwan Medical College 9, no. 4 (2019): 11–14. http://dx.doi.org/10.3126/jcmc.v9i4.26892.

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Background: Hepatobiliary system has many variations. Use of cadavers, intraoperative data and various imaging modalities are the commonly employed techniques for determining the anatomy of intrahepatic bile ducts. The vivid picture of hepatobiliary system is a must for hepatobiliary surgery and identification of frequency distribution of typical and atypical pattern and different types of atypical pattern are vital. This study aimed to uncover its frequency distribution and also to recognize the variations therein.&#x0D; Methods: An observational study was conducted in the Department of Anato
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Rathnayaka, P. G. R. S., Y. B. Dassanayake, and A. S. Pallewatte. "Analysis of anatomical variations of the Cystic Duct in Magnetic Resonance Cholangiopancreatography&nbsp;&nbsp;." Sri Lanka Journal of Radiology 9, no. 1 (2023): 1–6. http://dx.doi.org/10.4038/sljr.v9i1.123.

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Background and objectives- Anatomical variants of the cystic duct (CD) are important be identified and described in the radiological report. This facilitates proper interpretation of the pathological process related to the biliary tree. Also, prior information is important before surgical, percutaneous and endoscopic interventional procedures related to the biliary tree, to avoid inadvertent complications and for successful outcomes. Magnetic Resonance Cholangiopancreatography (MRCP)is the best non-invasive imaging modality in detecting anatomy of the non-dilated cystic duct. This study was ca
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Maharjan, Dhiresh Kumar, and Prabin Bikram Thapa. "Use of indocyanine green fluorescence during hepatobiliary surgery." Journal of Kathmandu Medical College 9, no. 2 (2020): 74–80. http://dx.doi.org/10.3126/jkmc.v9i2.35525.

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Background: Indocyanine green fluorescence image has been used in hepatobiliary surgery, which was mainly started by Japanese surgeons to visualize hepatobiliary structures probably because it is regarded as a reagent for estimation of hepatic function.&#x0D; Objectives: The objective of this study is to see the feasibility of use of indocyanine green in our setting during hepatobiliary surgery and its potential applications in the surgical treatment of benign and malignant liver pathology along with its selective use during difficult cholecystectomy to visualize extrahepatic biliary radical.
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Spadaccini, Marco, Carmelo Marco Giacchetto, Matteo Fiacca, et al. "Endoscopic Biliary Drainage in Surgically Altered Anatomy." Diagnostics 13, no. 24 (2023): 3623. http://dx.doi.org/10.3390/diagnostics13243623.

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Endoscopic retrograde cholangiopancreatography (ERCP) is considered the preferred method for managing biliary obstructions. However, the prevalence of surgically modified anatomies often poses challenges, making the standard side-viewing duodenoscope unable to reach the papilla in most cases. The increasing instances of surgically altered anatomies (SAAs) result from higher rates of bariatric procedures and surgical interventions for pancreatic malignancies. Conventional ERCP with a side-viewing endoscope remains effective when there is continuity between the stomach and duodenum. Nonetheless,
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Doush, Wael, Mohammed A/Galil, and Shakir Ibrahim. "Anatomical variations of the hepatobiliary system in Sudanese patients undergoing endoscopic retrograde cholangiopancreatography (ERCP)." International Journal of Medicine 5, no. 1 (2017): 105. http://dx.doi.org/10.14419/ijm.v5i1.7394.

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Background: The meticulous identification of the hepatobiliary tree system normal anatomy during surgical operations is crucial in iatrogenic injury prevention. Equally important, an understanding of the congenital variations of biliary and vascular anatomy, as the literature abounds with reports of specific anatomical variations, and their surgical implications.Aim: This study aimed to study the presence of anatomical variations within the hepatobiliary system in Sudanese population undergoing endoscopic retrograde cholangiopancreatography (ERCP).Patients and methods: The records of patients
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Taghavi, Seyed Alireza, Ramin Niknam, Seyed Ehsan Alavi, Fardad Ejtehadi, Gholam Reza Sivandzadeh, and Ahad Eshraghian. "Anatomical Variations of the Biliary Tree Found with Endoscopic Retrograde Cholagiopancreatography in a Referral Center in Southern Iran." Middle East Journal of Digestive Diseases 9, no. 4 (2017): 201–5. http://dx.doi.org/10.15171/mejdd.2017.74.

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Szymoniuk, Michał, Adam Brachet, Karol Ciejka, et al. "Clinical significance of Left-Sided Gallbladder for laparoscopic cholecystectomy and hepatectomy." Polish Journal of Surgery 95, no. 4 (2023): 1–5. http://dx.doi.org/10.5604/01.3001.0016.2124.

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A left-sided gallbladder (LSG) represents a rare anatomical variation defined by the location of the gallbladder to the left side of the liver falciform and round ligaments, which is often not discovered until surgery. The reported prevalence of this ectopia ranges from 0.2% to 1.1%, however, those values may be underestimated. It is mostly an asymptomatic condition, thus not causing the patient any harm, and being few reported cases in the current literature. Based on clinical presentation and standard diagnostic procedures, LSG can remain undetected and represent accidental intraoperative fi
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Tsalikidis, Christos, Apostolos Gaitanidis, Christos Kavazis, et al. "A Case of Symptomatic Gallbladder Agenesis with Chronic Abdominal Symptoms." Folia Medica 62, no. 3 (2020): 615–18. http://dx.doi.org/10.3897/folmed.62.e48291.

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The anatomical area of the extrahepatic bile ducts exhibits plethora of anatomic variants. The detailed study and comprehension of anatomic variations of extrahepatic bile ducts is a prerequisite in order to avoid the intraoperative biliary or tract damages, but they are also necessary for the targeted treatment of any complications. Gallbladder agenesis is a rare congenital anomaly of the biliary tree with an estimated incidence of 0.007-0.027% in surgical series which is much lower compared to the incidence of other gallbladder anomalies. It may be asymptomatic, but sometimes is associated w
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Koirala, Ashok, Dipendra Thakur, Sunit Agrawal, Kamal Raj Pathak, Manoj Bhattarai, and Abhilasha Sharma. "Laparoscopic Cholecystectomy, A single Surgeon experience at Teaching Hospital Biratnagar, Nepal." Journal of Nobel Medical College 6, no. 1 (2017): 1–5. http://dx.doi.org/10.3126/jonmc.v6i1.18079.

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Background :Laparoscopic cholecystectomy (LC) is a treatment of choice for symptomatic gall stone disease and is commonly done all over the country in general surgical practice. The aim of this study is to show the results of LC in our medical college.Material and Methods: A retrospective analysis of the patients underwent laparoscopic cholecystectomy from July 2015 to September 2016 was carried out in NMCTH, Biratnagar. A total of 391 patients admitted through OPD of our Hospital underwent laparoscopic cholecystectomy were studied. All age groups and both sex were included.Results: Out of 391
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Aher, Nakul Babanrao, and Ejaz Abdul Gafoor Thakur. "Right hepatic artery: primum discere anatomia-first, learn anatomy." International Surgery Journal 9, no. 5 (2022): 1091. http://dx.doi.org/10.18203/2349-2902.isj20221163.

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Laparoscopic cholecystectomy (LC) is the most commonly performed surgical procedure and considered as the gold standard treatment of gallstone disease. However, the overall rate of complications like injury to bile duct and hepatic artery in LC remains higher than that seen in open cholecystectomy. Hence complete knowledge of the anatomy and anatomical relationship of biliary tree and liver plays a key role in the laparoscopic hepatobiliary surgeries. Being an end artery, blood supply to the right lobe of the liver solely depends on the right hepatic artery. Identification of variations in hep
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Aher, Nakul Babanrao, and Ejaz Abdul Gafoor Thakur. "Right hepatic artery: primum discere anatomia-first, learn anatomy." International Surgery Journal 9, no. 5 (2022): 1091. http://dx.doi.org/10.18203/2349-2902.isj20221163.

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Laparoscopic cholecystectomy (LC) is the most commonly performed surgical procedure and considered as the gold standard treatment of gallstone disease. However, the overall rate of complications like injury to bile duct and hepatic artery in LC remains higher than that seen in open cholecystectomy. Hence complete knowledge of the anatomy and anatomical relationship of biliary tree and liver plays a key role in the laparoscopic hepatobiliary surgeries. Being an end artery, blood supply to the right lobe of the liver solely depends on the right hepatic artery. Identification of variations in hep
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Aher, Nakul Babanrao, and Ejaz Abdul Gafoor Thakur. "Right hepatic artery: primum discere anatomia-first, learn anatomy." International Surgery Journal 9, no. 5 (2022): 1091. http://dx.doi.org/10.18203/2349-2902.isj20221163.

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Laparoscopic cholecystectomy (LC) is the most commonly performed surgical procedure and considered as the gold standard treatment of gallstone disease. However, the overall rate of complications like injury to bile duct and hepatic artery in LC remains higher than that seen in open cholecystectomy. Hence complete knowledge of the anatomy and anatomical relationship of biliary tree and liver plays a key role in the laparoscopic hepatobiliary surgeries. Being an end artery, blood supply to the right lobe of the liver solely depends on the right hepatic artery. Identification of variations in hep
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Alpini, G., C. Ulrich, S. Roberts, et al. "Molecular and functional heterogeneity of cholangiocytes from rat liver after bile duct ligation." American Journal of Physiology-Gastrointestinal and Liver Physiology 272, no. 2 (1997): G289—G297. http://dx.doi.org/10.1152/ajpgi.1997.272.2.g289.

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Cholangiocytes, the epithelial cells that line intrahepatic bile ducts, participate in bile secretion via basal and agonist-stimulated transport of solutes and water. On the basis of subtle structural differences between cholangiocytes lining small vs. large bile ducts, as well as known phenotypic variations among transporting epithelia in other organs, we demonstrated that cholangiocytes are functionally heterogeneous along the intrahepatic biliary tree of normal rats. In studies reported here, we confirm and extend the concept of functional heterogeneity of cholangiocytes by employing the bi
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Demangone, Michael, Karam Rabih Abi Karam, Daniel Lee, et al. "Incidence and demographics of bile duct cystadenocarcinoma from the National Cancer Database." Journal of Clinical Oncology 42, no. 16_suppl (2024): e16231-e16231. http://dx.doi.org/10.1200/jco.2024.42.16_suppl.e16231.

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e16231 Background: Bile duct cystadenocarcinoma, a rare tumor of the biliary tree, manifests itself within both multilocular and unilocular cysts composed of mucous-secreting, cytologically malignant epithelial cell populations. While similar in presentation to other biliary tree malignancies, bile duct cystadenocarcinoma has unique morphological variations between sexes. This contrast in disease manifestation based on sex could potentially impact diagnostic imaging, testing approaches, and treatment strategies for both female and male patients. The potential impact of demographics on the prog
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Hoa, Tran Quoc, Nguyen Thai Binh, Pham Son Nam, and Phan Nhan Hien. "Percutaneous transhepatic bilioenteric neoanastomosis: A novel approach for managing bile duct injuries following choledochal cyst resection in patients with anatomical variations of the biliary tree: A case study." Radiology Case Reports 19, no. 3 (2024): 867–71. http://dx.doi.org/10.1016/j.radcr.2023.11.063.

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Ishaque, Imran, Urooj Fatima, Naveed Ali Siddiqui, Nadeem Baig, Amber Illyas, and Naheed Gohar. "Congenital Anomaly of Gall Bladder Assessed Through Magnetic Resonance Cholangiography in Relation to Its Clinical Relevance." ANNALS OF ABBASI SHAHEED HOSPITAL AND KARACHI MEDICAL & DENTAL COLLEGE 24, no. 4 (2020): 215–22. http://dx.doi.org/10.58397/ashkmdc.v24i4.167.

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AbstractObjective: The overall incidence of Phrygian cap is about 04%. It is an anomaly of gall bladder found congenitally. It can be a misguided pathological diagnosis often seen mimicking a liver mass on imaging of the hepatobiliary tree. Although Phrygian cap is a congenital anomaly, it does not show any pathological significance, In light of this condition, the purpose of this research was to find out the congenital anomalies of the gallbladder through magnetic resonance cholangiopancreatography (MRCP) along with its clinical significance.Methods: A total of 377 patients were selected with
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Baltaga, Ludmila, Dimosthenis Chrysikos, Spiros Delis, et al. "Duplicated gallbladder: an incidental anatomical variation in a patient with symptomatic cholelithiasis." Folia Medica 65, no. 5 (2023): 834–38. http://dx.doi.org/10.3897/folmed.65.e91397.

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Congenital malformations of the biliary tract represent a relatively rare entity with which surgeons, radiologists and clinicians are not adequately familiarized. We present a rare case of gallbladder duplication in a 40-year-old female, with the accessory cystic duct entering the left hepatic duct, which depicts the fifth reported case in the international bibliography. Our case illustrates the importance of detailed knowledge of anatomical malformations of the biliary tree, serving the purpose of a preoperative diagnosis of symptomatic cholelithiasis. It is also of paramount importance to ta
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Matos, Victória L., Luís Ferreira, Henrique Alexandrino, and Guilherme Tralhão. "Intrahepatic lithiasis managed with hepatectomy and anterograde cholangioscopy through the right posterior sectorial duct." International Surgery Journal 11, no. 6 (2024): 980–84. http://dx.doi.org/10.18203/2349-2902.isj20241399.

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Intrahepatic lithiasis, endemic in East Asia, is increasing in Western countries and without proper treatment, may cause cholangitis, liver abscesses, biliary cirrhosis, and cholangiocarcinoma. Management may require endoscopic, percutaneous, or surgical approach to the bile duct. Anterograde approach through the stump of the biliary duct during hepatectomy has been reported only rarely. We present a case managed through an anterograde approach, which is a valid alternative that preserves the integrity of the main biliary tree. A 76-year-old woman presented with recurrent severe cholangitis ep
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Griffin, Sally. "Feline abdominal ultrasonography: what’s normal? what’s abnormal? The biliary tree." Journal of Feline Medicine and Surgery 21, no. 5 (2019): 429–41. http://dx.doi.org/10.1177/1098612x19843212.

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Practical relevance: Abdominal ultrasound plays a vital role in the diagnostic work-up of many cats presenting to general and specialist practitioners. The biliary tree encompasses the liver, gall bladder and bile ducts, although only diseases affecting the latter two are discussed here. Diseases of the bile ducts and gall bladder are more common than those of the liver parenchyma and ultrasound plays an important role in their diagnosis. Clinical challenges: Despite ultrasonography being a commonly used modality, many practitioners are not comfortable performing an ultrasound examination or i
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Dahlan, Dayang Azzyati Awang, Nik Azim Nik Abdullah, and Rokayah Julaihi. "Low convergence of hepatic ducts: A rare extrahepatic biliary tree anatomical variation." International Journal of Hepatobiliary and Pancreatic Diseases 5 (2015): 92. http://dx.doi.org/10.5348/ijhpd-2015-41-cs-16.

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Iida, T., T. Kaido, A. Yoshizawa, et al. "A Rare Variation of the Biliary Tree of Relevance to Live Liver Donation." American Journal of Transplantation 11, no. 4 (2011): 869–70. http://dx.doi.org/10.1111/j.1600-6143.2011.03457.x.

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Smith, R. G., J. W. Keller, J. C. Landry, K. Tsujino, W. E. Torres, and L. W. Davis. "Anatomic variation of extrahepatic biliary tree structures: importance in treatment planning for radiation therapy." Radiology 201, no. 1 (1996): 271–73. http://dx.doi.org/10.1148/radiology.201.1.8816557.

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Fitzgerald, Tom. "Is There Common Duct Enlargement Present Ultrasonically: How do you Measure Yours? (Survey of Departmental Practice)." Ultrasound 19, no. 4 (2011): 203–8. http://dx.doi.org/10.1258/ult.2011.011031.

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A departmental survey of personal methodology in the measurement of bile duct diameter was carried out by means of a representative diagram of a typical bile duct image configuration. The results revealed considerable differences in measurement practice, and factors that may explain the patterns of interobserver variation, among 20 respondents in this task, were postulated. There was considerable scope for error, by a factor of three times between the smallest and largest diameter selected noted within current practice variation. This reflects similar disparity found in the literature. Within
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Giovannini, Marc, and Erwan Bories. "EUS-Guided Biliary Drainage." Gastroenterology Research and Practice 2012 (2012): 1–5. http://dx.doi.org/10.1155/2012/348719.

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The echoendoscopic biliary drainage is an option to treat obstructive jaundices when ERCP drainage fails. These procedures compose alternative methods to the side of surgery and percutaneous transhepatic biliary drainage, and it was only possible by the continuous development and improvement of echoendoscopes and accessories. The development of linear setorial array echoendoscopes in early 1990 brought a new approach to diagnostic and therapeutic dimenion on echoendoscopy capabilities, opening the possibility to perform punction over direct ultrasonographic view. Despite of the high success ra
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Griffin, Sally. "Feline abdominal ultrasonography: what’s normal? what’s abnormal? Hepatic vascular anomalies." Journal of Feline Medicine and Surgery 21, no. 7 (2019): 645–54. http://dx.doi.org/10.1177/1098612x19856182.

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Practical relevance: Abdominal ultrasound plays a vital role in the diagnostic work-up of many cats presenting to general and specialist practitioners. Although hepatic vascular anomalies are less common than disorders of the hepatic parenchyma and biliary tree, our understanding and recognition of these is gradually increasing with advancements in ultrasound technology and image quality. Clinical challenges: Despite ultrasonography being a commonly used modality, many practitioners are not comfortable performing an ultrasound examination or interpreting the resulting images. Even differentiat
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Shizuku, Masato, Nobuhiko Kurata, Kanta Jobara, Atsushi Yoshizawa, and Yasuhiro Ogura. "A novel anatomic variation of the intrahepatic biliary tree in live liver donor surgery: A case report." International Journal of Surgery Case Reports 79 (February 2021): 231–33. http://dx.doi.org/10.1016/j.ijscr.2021.01.042.

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Khan, Shehzad, Bakht Rokhan, Sadia Imtiaz, Sania Khattak, Shah Babar, and Sanya Hadi. "Efficacy of ultrasound in diagnosis of patients with gallbladder, common bile duct and hepatic duct worms." International Journal of Radiology & Radiation Therapy 8, no. 4 (2021): 174–77. http://dx.doi.org/10.15406/ijrrt.2021.08.00311.

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Ascariasis is confirmed to be more common in over populated rural societies with insufficient sewage and warm environments. We addressed the ultrasonic demonstration of biliary ascariasis and the worth of ultrasound in ratifying the diagnostics and assessment outcomes. In our study, 20 patients (8 females and 12 males) were included and conducted from Sep 2019 to Mar 2020 in the Saido Sharif hospital, SWAT, KPK, Pakistan. The criteria for including patients were based upon the ultrasonic findings expressing the biliary ascariasis such as non-shadowing curved or straight echoic structures like
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Laochareonsuk, Wison, Komwit Surachat, Piyawan Chiengkriwate, and Surasak Sangkhathat. "A novel pathogenesis concept of biliary atresia approached by combined molecular strategies." PLOS ONE 17, no. 11 (2022): e0277334. http://dx.doi.org/10.1371/journal.pone.0277334.

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Cholestatic jaundice is one of the most common neonatal conditions. BA, a correctable cholangiopathy, presents with cholestatic jaundice within the first weeks of life. The inflammation of bile ducts leads to progressive fibrosclerosis involving biliary trees, followed by cirrhosis and liver failure. With the use of modern molecular studies, this research aimed to define a novel pathogenesis by exploring variations. We performed genetic discovery by using supervised and unsupervised approaches. Ultimately, a combination of genetic variations and survival data was analyzed to strengthen the nov
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Yamamoto-Moreno, José Adrián, Ricardo Gómez-Fernández, Alejandro Steven Iturbide-Aguirre, Jessica Hernández-Sánchez, and Gainsborough Gonzalo Cutipa-Flores. "Bile duct injury in an anatomical variant of the posterior right hepatic duct draining in the cystic duct: case report." International Journal of Research in Medical Sciences 10, no. 8 (2022): 1782. http://dx.doi.org/10.18203/2320-6012.ijrms20221996.

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During laparoscopic cholecystectomy, several factors increase the likelihood of bile duct injury (BDI). The most common cause of BDI during laparoscopic cholecystectomy is an inappropriate identification of the critical view of safety associated with acute and chronic inflammation, obesity, haemorrhage, and anatomical variants. Of all anatomic variants of the biliary tree, Blumgart type F has been reported as the least common, but allegedly it carries the biggest risk of BDI. We present the case of a 45-year-old woman with acute cholecystitis subjected to laparoscopic cholecystectomy with Stra
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Swain, Bikramaditya, Ranjan Kumar Sahoo, Kamal Kumar Sen, G. Manoj Kumar, Shylendra Singh Parihar, and Roopak Dubey. "Evaluation of intrahepatic and extrahepatic biliary tree anatomy and its variation by magnetic resonance cholangiopancreatography in Odisha population: a retrospective study." Anatomy & Cell Biology 53, no. 1 (2020): 8. http://dx.doi.org/10.5115/acb.19.177.

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Markov, Peter, and Alexander Mitevski. "IATROGENIC INJURIES OF SUBVESICAL BILE DUCT - CASE REPORT AND LITERATURE REVIEW." KNOWLEDGE - International Journal 54, no. 4 (2022): 589–96. http://dx.doi.org/10.35120/kij5404589m.

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With the rise of laparoscopic cholecystectomy as the gold standard for treating gallbladder calculi andpolyps, subvesical bile ducts are gaining increased clinical importance. With the introduction of electrocautery insurgery, a large part of these tubular structures, although with interrupted continuity, do not show extravasation ofbile content postoperatively. Decreased bile production during general anesthesia and increased intraperitonealpressure also make diagnosis of injuries difficult. Surgeons who frequently operate in the right upper quadrant haveto understand the anatomy of the bilia
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