Biliary Tract Flashcards
What is the name of the node in Calot’s triangle
Calot’s node
What are the small ducts that drain bile directly into the gallbladder from the liver
Ducts of Luschka
Which artery is susceptible to injury during cholecystectomy
Right hepatic artery
because of its proximity to the cystic artery and Calot’s triangle
Where is the infundibulum of the gallbladder
Near the cystic duct
Where is the fundus of the gallbladder
At the end of the gallbladder
What are the boundaries of the triangle of Calot
Three Cs
Cystic duct
Common hepatic duct
Cystic artery
What does bile do
Emulsifies fats
What stimulates gallbladder emptying
Cholecystokinin and vagal input
Gallstones in galbladder
Cholelithiasis
Gallstones in common bile duct
Choledocholithiasis
Inflammation of gallbladder
Cholecystitis
Pain from gallstones usually from a stone at cystic duct
Biliary colic
Anastomosis between common bile duct and jejunum
Choledochojejunostomy
Anastomosis of hepatic ducts or common hepatic duct to jejunum
Hepaticojejunostomy
What is the initial diagnostic study of choice for evaluation of the biliary tract/gallbladder/cholelithiasis
Ultrasound
ERCP
Endoscopic Retrograde CholangioPancreatography
IOC
IntraOperative Cholangiogram
Cut through sphincter of Oddi to allow passage of gallstones from the common bile duct
Sphincterotomy
What is the treatment of major CBD injury after a lap chole
Choledochojejunostomy
What are the bid 4 risk factors for cholelithiasis
Female
Fat
Forty
Fertile
What are the types of stones
Cholesterol stones 75%
Pigment stones 25%
What are the possible complications of a lap chole
Common bile duct injury; right hepatic duct/artery injury; cystic duct leak; biloma (collection of bile)
What are the major feared complication of ERCP
Pancreatitis
Acute pain and inspiratory arrest elicited by palpation of the RUQ during inspiration
Murphy’s sign
What are the findings on HIDA scan
Nonfilling of the gallbladder
What is the management of distal common bile duct cholangiocarcinoma
Whipple procedure
