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Updated: Feb 8, 2026

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
Accessory bile duct: a rare but important anatomical variant
Anthony S Casabianca1, Mihir M Shah2, Darren Carpizo2
1Department of General Surgery, Rutgers Robert Wood Johnson Medical School New Brunswick, New Brunswick, New Jersey, USA.
Abstract:
An 84-year-old man presented with pancreatic adenocarcinoma. Following neoadjuvant chemoradiation, the patient underwent a pancreaticoduodenectomy, complicated by early bile leak. Re-exploration and intraoperative cholangiogram identified an accessory common bile duct draining segment 5 of the right hepatic lobe, which was then ligated. The patient underwent a complicated postoperative course eventually developing sepsis secondary to biliary stasis. He elected for comfort measures and passed away secondary to complications of sepsis.
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