Report of two cases of aberrant hepatic duct entering cystic duct: Identifying and preventing bile duct injury

Abstract Introduction: Although laparoscopic cholecystectomy has been considered to have more advantages than open cholecystectomy, the incidence of bile duct injury still remains high. One of the reasons reported is biliary ductal anomalies, especially extrahepatic bile duct. We reported two cases in which the patients had the right posterior sectional duct entering the cystic duct. Bail-out procedure (fundus-first technique) was performed for both cases and the patient were discharged safely without bile duct injury. Keyword: biliary ductal anomalies, variant biliary anatomy, bile duct injury.