PP 72. Duct of Luschka: Importance of the Control of Gallbladder Bed During

---

B. Kavlakoglu, R. Pekcici

19:22 - 19:28h at Lanchid Room

Categories: Hepatobiliary and Pancreatic Surgery, Poster Session

Session: Poster (P5) - Hepatobiliary & Pancreatic Surgery

---

Background
Bile ducts of Luschka (also called supravesicular ducts) are small bile ducts in the gallbladder bed. Although they do not drain any liver parenchyma, they can be a source of bile leak or biliary peritonitis after cholecystectomy in both adults and children, as shown in this case report. The duct of Luschka often may occur in case of the anatomic variation described by Hubert von Luschka
(1820-1875) a German anatomist as the duct named after Luschka. In a favorable case the accessory bile duct closes by itself, but occasionally developing biloma and/or biliary peritonitis need to be operated on. Therefore control of gallbladder bed during laparoscopic cholecystectomy is very very important at the time of operation.

Material and Methods
Laparoscopic cholecystectomy was performed for chronic cholecystitis to 59-year-old woman. Two aberrant ducts of Luschka were found during the control of gallbladder bed at the time of operation. These ducts were sealed with surgical clips properly.

Result
Postoperative course was uneventful. The patient discharged from hospital on first day after operation.

Conclusion
Control of the gallbladder bed during laparoscopic cholecystectomy is very very important for early detection of bile leakage at the time of operation.