CASE REPORT   

Chirurgia 2020 December;33(6):322-4

DOI: 10.23736/S0394-9508.19.05032-0

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English

The laparoscopic approach as a new effective option in congenital cystic duct absence: a case report

Kiril G. KIROV ^{1, 2} ✉, Bogdan G. BOGDANOV ²

¹ Medical University of Pleven, Pleven, Bulgaria; ² Division of Surgery, Specialized Hospital for Oncological Diseases of Varna, Varna, Bulgaria

Isolated congenital cystic duct absence is a very rare pathology of the biliary tract. A comprehensive review of the patients identified in the literature available is presented. Traditionally, open surgery such as retrograde or anterograde cholecystectomy is performed. A patient in whom during laparoscopic cholecystectomy a missing cystic duct has been diagnosed is reported to illustrate the effectiveness of the laparoscopic approach. This approach consists in the clear differentiation of the common hepatic and common bile ducts with wide gallbladder mouth directly attached to them and a laparoscopic resection of the gallbladder, leaving a small segment of it, to avoid any future constrictions. Four adequate surgical options in cystic duct absence are mentioned.

KEY WORDS: Cystic duct; Cholecystectomy, Laparoscopic, Laparoscopy