Letter to the Editor
Comment on subvesical bile duct injury resolved by percutaneous drainage
Comentario sobre lesión del conducto subvesical resuelta por drenaje percutáneo
Margarida Casellas-Robert
, Santiago Lopez-Ben, Laia Falgueras-Verdaguer, Antoni Codina-Barreras
Corresponding author
Hospital Universitari Doctor Josep Trueta, Girona, Spain
Read
1011
Timeswas read the article
277
Total PDF
734
Total HTML
Share statistics
array:22 [ "pii" => "S2444382418301639" "issn" => "24443824" "doi" => "10.1016/j.gastre.2018.08.010" "estado" => "S300" "fechaPublicacion" => "2018-10-01" "aid" => "1291" "copyrightAnyo" => "2018" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Gastroenterol Hepatol. 2018;41:530-1" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:17 [ "pii" => "S2444382418301640" "issn" => "24443824" "doi" => "10.1016/j.gastre.2018.06.013" "estado" => "S300" "fechaPublicacion" => "2018-10-01" "aid" => "1295" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Gastroenterol Hepatol. 2018;41:532-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Special article</span>" "titulo" => "Hydatid cysts in Classical and late Antiquity" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "532" "paginaFinal" => "534" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Quistes hidatídicos en la Antigüedad clásica y tardía" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Niki Papavramidou, Helen Christopoulou-Aletra, Theodossis Papavramidis" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Niki" "apellidos" => "Papavramidou" ] 1 => array:2 [ "nombre" => "Helen" "apellidos" => "Christopoulou-Aletra" ] 2 => array:2 [ "nombre" => "Theodossis" "apellidos" => "Papavramidis" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382418301640?idApp=UINPBA00004N" "url" => "/24443824/0000004100000008/v1_201810020619/S2444382418301640/v1_201810020619/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S2444382418301615" "issn" => "24443824" "doi" => "10.1016/j.gastre.2018.05.018" "estado" => "S300" "fechaPublicacion" => "2018-10-01" "aid" => "1293" "copyright" => "The Author(s)" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "ssu" "cita" => "Gastroenterol Hepatol. 2018;41:514-29" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1234 "formatos" => array:3 [ "EPUB" => 45 "HTML" => 881 "PDF" => 308 ] ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Review</span>" "titulo" => "Recommendations of the Spanish Working Group on Crohn's Disease and Ulcerative Colitis (GETECCU) on the utility of the determination of faecal calprotectin in inflammatory bowel disease" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "514" "paginaFinal" => "529" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Recomendaciones del Grupo Español de Trabajo en Enfermedad de Crohn y Colitis Ulcerosa (GETECCU) sobre la utilidad de la determinación de calprotectina fecal en la enfermedad inflamatoria intestinal" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jordi Guardiola, Triana Lobatón, Elena Cerrillo, Rocío Ferreiro-Iglesias, Javier P. Gisbert, Eugeni Domènech, María Chaparro, Maria Esteve, Francisco Rodríguez-Moranta" "autores" => array:10 [ 0 => array:2 [ "nombre" => "Jordi" "apellidos" => "Guardiola" ] 1 => array:2 [ "nombre" => "Triana" "apellidos" => "Lobatón" ] 2 => array:2 [ "nombre" => "Elena" "apellidos" => "Cerrillo" ] 3 => array:2 [ "nombre" => "Rocío" "apellidos" => "Ferreiro-Iglesias" ] 4 => array:2 [ "nombre" => "Javier P." "apellidos" => "Gisbert" ] 5 => array:2 [ "nombre" => "Eugeni" "apellidos" => "Domènech" ] 6 => array:2 [ "nombre" => "María" "apellidos" => "Chaparro" ] 7 => array:2 [ "nombre" => "Maria" "apellidos" => "Esteve" ] 8 => array:2 [ "nombre" => "Francisco" "apellidos" => "Rodríguez-Moranta" ] 9 => array:1 [ "colaborador" => "on behalf of GETECCU" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210570518301602" "doi" => "10.1016/j.gastrohep.2018.05.029" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570518301602?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382418301615?idApp=UINPBA00004N" "url" => "/24443824/0000004100000008/v1_201810020619/S2444382418301615/v1_201810020619/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Comment on subvesical bile duct injury resolved by percutaneous drainage" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "530" "paginaFinal" => "531" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Margarida Casellas-Robert, Santiago Lopez-Ben, Laia Falgueras-Verdaguer, Antoni Codina-Barreras" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Margarida" "apellidos" => "Casellas-Robert" "email" => array:1 [ 0 => "mcasellasro@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Santiago" "apellidos" => "Lopez-Ben" ] 2 => array:2 [ "nombre" => "Laia" "apellidos" => "Falgueras-Verdaguer" ] 3 => array:2 [ "nombre" => "Antoni" "apellidos" => "Codina-Barreras" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Hospital Universitari Doctor Josep Trueta, Girona, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Comentario sobre lesión del conducto subvesical resuelta por drenaje percutáneo" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 788 "Ancho" => 1200 "Tamanyo" => 53593 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Strasberg type A biliary injury (A); Strasberg type C biliary injury (B); representation of a trans-catheter cholangiography of Strasberg type A biliary injury (C) and Strasberg type C biliary injury (D).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We have read with interest the scientific letter of Pineño-Flores C et al.,<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> where they describe a subvesical duct injury after laparoscopic cholecystectomy resolved by percutaneous drainage. In this letter, the lesion is described as a type A injury according to the Strasberg classification.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> The type of lesion was determined after an abdominal radiography with contrast which is shown in Fig. 1 of the aforementioned article.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Bile injury during laparoscopic cholecystectomy, one of the most serious iatrogenic complications, occurs due to anatomical misidentification during surgery.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> To prevent them, the technique established is not staying close to the gallbladder wall as recommended in the letter, but to achieve the critical view of safety whenever it is safe to do so.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> The critical view of safety concludes after (1) clearing the hepatocystic triangle, (2) separating the lower on third of the gallbladder to expose the cystic plate and (3) only identifying two structures entering the gallbladder (cystic artery and cystic duct).<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">According to the literature of systematic review of subvesical bile ducts made by Schnelldorfer,<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> a subvesical bile duct should be defined as any bile duct traversing in close contact with the gallbladder fossa with a tendency to originate from and/or drain into the right lobe. This definition includes from aberrant subvesical bile ducts or hepaticocholecystic bile ducts to accessory subvesical bile ducts or typical anatomy of bile ducts with unusual superficial course, as could be a right posterior sectorial duct. The clinical relevance related to an injury of an accessory bile duct or a superficial typical anatomy bile duct is higher because of the risk of developing hepatic atrophy or repeated cholangitis in the future.</p><p id="par0020" class="elsevierStylePara elsevierViewall">While we agree that we face a subvesical duct injury, we believe the type of injury is poorly classified. A Strasberg type A biliary injury corresponds to a bile leak from the cystic duct stump or a minor biliary radical in the gallbladder fossa. In front of this kind of lesion, we should expect the contrast to enter the radical and spread to the main biliary duct. After revising the radiography aforesaid, we note that the only structure contrasted is a terminal branch without continuation to proximal structures. This image corresponds, to our best knowledge, to a Strasberg type C biliary injury, a bile leak from divided right posterior sectorial duct (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">To end with, we think it is essential to perform a CT scan or MRI some months after the surgery to detect any biliary dilatation. This dilatation would confirm a Strasberg type C biliary injury.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 788 "Ancho" => 1200 "Tamanyo" => 53593 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Strasberg type A biliary injury (A); Strasberg type C biliary injury (B); representation of a trans-catheter cholangiography of Strasberg type A biliary injury (C) and Strasberg type C biliary injury (D).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Subvesical duct injury resolved by percutaneous drainage" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "C. Pineño-Flores" 1 => "J.J. Segura-Sampedro" 2 => "J.M. García-Pérez" 3 => "C. Soldevila-Verdaguer" 4 => "E. Palma-Zamora" 5 => "F.X. González-Argenté" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.gastrohep.2017.03.005" "Revista" => array:2 [ "tituloSerie" => "Gastroenterol Hepatol" "fecha" => "2017" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0035" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An analysis of the problem of biliary injury during laparoscopic cholecystectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S.M. Strasberg" 1 => "M. Hertl" 2 => "N.J. Soper" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Am Coll Surg" "fecha" => "1995" "volumen" => "180" "paginaInicial" => "101" "paginaFinal" => "125" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8000648" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0040" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Avoidance of biliary injury during laparoscopic cholecystectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "S.M. Strasberg" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s005340200071" "Revista" => array:6 [ "tituloSerie" => "J Hepatobiliary Pancreat Surg" "fecha" => "2002" "volumen" => "9" "paginaInicial" => "543" "paginaFinal" => "547" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12541037" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Delphi consensus on bile duct injuries during laparoscopic cholecystectomy: an evolutionary cul-de-sac or the birth pangs of a new technical framework?" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "Y. Iwashita" 1 => "T. Hibi" 2 => "T. Ohyama" 3 => "A. Umezawa" 4 => "T. Takada" 5 => "S.M. Strasberg" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/jhbp.503" "Revista" => array:5 [ "tituloSerie" => "J Hepatobiliary Pancreat Surg" "fecha" => "2017" "volumen" => "24" "paginaInicial" => "591" "paginaFinal" => "602" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "What is the duct of luschka?—a systematic review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "T. Schnelldorfer" 1 => "M.G. Sarr" 2 => "D.B. Adams" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s11605-011-1802-5" "Revista" => array:5 [ "tituloSerie" => "Gastrointest Surg" "fecha" => "2012" "volumen" => "16" "paginaInicial" => "656" "paginaFinal" => "662" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/24443824/0000004100000008/v1_201810020619/S2444382418301639/v1_201810020619/en/main.assets" "Apartado" => array:4 [ "identificador" => "48445" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letter to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/24443824/0000004100000008/v1_201810020619/S2444382418301639/v1_201810020619/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382418301639?idApp=UINPBA00004N" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 1 | 0 | 1 |
| 2024 October | 12 | 4 | 16 |
| 2024 September | 17 | 10 | 27 |
| 2024 August | 12 | 9 | 21 |
| 2024 July | 8 | 6 | 14 |
| 2024 June | 8 | 3 | 11 |
| 2024 May | 8 | 4 | 12 |
| 2024 April | 10 | 4 | 14 |
| 2024 March | 14 | 5 | 19 |
| 2024 February | 6 | 4 | 10 |
| 2024 January | 15 | 2 | 17 |
| 2023 December | 4 | 1 | 5 |
| 2023 November | 8 | 3 | 11 |
| 2023 October | 15 | 6 | 21 |
| 2023 September | 10 | 0 | 10 |
| 2023 August | 5 | 1 | 6 |
| 2023 July | 4 | 4 | 8 |
| 2023 June | 13 | 1 | 14 |
| 2023 May | 37 | 2 | 39 |
| 2023 April | 30 | 0 | 30 |
| 2023 March | 30 | 3 | 33 |
| 2023 February | 16 | 3 | 19 |
| 2023 January | 29 | 3 | 32 |
| 2022 December | 10 | 3 | 13 |
| 2022 November | 18 | 5 | 23 |
| 2022 October | 16 | 9 | 25 |
| 2022 September | 12 | 8 | 20 |
| 2022 August | 12 | 9 | 21 |
| 2022 July | 10 | 7 | 17 |
| 2022 June | 16 | 6 | 22 |
| 2022 May | 11 | 6 | 17 |
| 2022 April | 18 | 8 | 26 |
| 2022 March | 31 | 5 | 36 |
| 2022 February | 39 | 4 | 43 |
| 2022 January | 25 | 4 | 29 |
| 2021 December | 16 | 8 | 24 |
| 2021 November | 18 | 8 | 26 |
| 2021 October | 13 | 11 | 24 |
| 2021 September | 7 | 6 | 13 |
| 2021 August | 11 | 6 | 17 |
| 2021 July | 10 | 4 | 14 |
| 2021 June | 13 | 11 | 24 |
| 2021 May | 8 | 4 | 12 |
| 2021 April | 17 | 10 | 27 |
| 2021 March | 29 | 10 | 39 |
| 2021 February | 21 | 11 | 32 |
| 2021 January | 13 | 17 | 30 |
| 2020 December | 11 | 9 | 20 |
| 2020 November | 9 | 7 | 16 |
| 2020 October | 8 | 3 | 11 |
Show all
