Laparoscopic Cholecystectomy with Endoscopic Naso-biliary Drainage (ENBD) Tube Inserted into the Hepatic Duct Joining the Cystic Duct

Noboru Miichi, Takayoshi Murakami, Yoshikiyo Nakagawa, Kimiaki Tanaka*, Keisuke Hamazaki* and Noriaki Tanaka*

Department of Surgery, St. Martin Hospital
Department of Gastroenterological Surgery and Surgical Oncology, Okayama University Graduate School of Medicine and Dentistry*

We performed laparoscopic cholecystectomy (LC) with an endoscopic naso-biliary drainage (ENBD) tube selectively inserted into anomalies of the hepatic duct in two cases. In one case the anomaly consisted of the posterior bile duct joining the cystic duct. In the other case the anomaly consisted of the right hepatic duct joining the cystic duct. These anomalies of the bile duct are significant and must be preserved in carrying out LC. The ENBDtube which is inserted into the anomalies of the hepatic duct via the cystic duct is very useful as a splint and for direct cholangiography during LC, especially in the treatment of severe cholecystitis.

Key words
endoscopic naso-biliary drainage, anomaly of the bile duct, laparoscopic cholecystectomy

Reprint requests
Noboru Miichi Department of Surgery, St. Martin Hospital
1-4-13 Tanimachi, Sakaide, 762-0033 JAPAN

Accepted
March 30, 2005

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