Evidence map›Paper›PMID 42434053›Full record

ArticleJournal of surgical case reports2026

Intraoperative warning signs of a cystic duct entering the right hepatic duct during laparoscopic cholecystectomy: a case report.

Masanobu Taguchi, Hisanaga Horie, Hidenori Tsukui, Yuriko Yamada, Toshio Horiuchi, Yuki Kimura, Yuko Kumagai, Hideki Sasanuma, Hironori Yamaguchi

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Masanobu TaguchiDepartment of Surgery, Japan Community Health Care Organization, Utsunomiya Hospital, Utsunomiya, Tochigi 321-0143, Japan.ORCID https://orcid.org/0000-0003-3305-0314
Hisanaga HorieDepartment of Surgery, Japan Community Health Care Organization, Utsunomiya Hospital, Utsunomiya, Tochigi 321-0143, Japan.
Hidenori TsukuiDepartment of Surgery, Japan Community Health Care Organization, Utsunomiya Hospital, Utsunomiya, Tochigi 321-0143, Japan.
Yuriko YamadaDepartment of Surgery, Japan Community Health Care Organization, Utsunomiya Hospital, Utsunomiya, Tochigi 321-0143, Japan.
Toshio HoriuchiDepartment of Surgery, Japan Community Health Care Organization, Utsunomiya Hospital, Utsunomiya, Tochigi 321-0143, Japan.
Yuki KimuraDepartment of Surgery, Japan Community Health Care Organization, Utsunomiya Hospital, Utsunomiya, Tochigi 321-0143, Japan.
Yuko KumagaiDepartment of Surgery, Japan Community Health Care Organization, Utsunomiya Hospital, Utsunomiya, Tochigi 321-0143, Japan.
Hideki SasanumaDepartment of Surgery, Jichi Medical University, Shimotsuke, Tochigi 329-0498, Japan.
Hironori YamaguchiDepartment of Surgery, Jichi Medical University, Shimotsuke, Tochigi 329-0498, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A cystic duct entering the right hepatic duct is a rare biliary anatomical variation that increases the risk of bile duct injury during laparoscopic cholecystectomy. We report a 42-year-old woman with cholelithiasis and gallbladder adenomyomatosis in whom preoperative magnetic resonance cholangiopancreatography demonstrated the cystic duct entering the right hepatic duct. During laparoscopic cholecystectomy, the cystic duct ran cranially toward the hepatic hilum and appeared to continue beneath the serosa of the hepatoduodenal ligament into the right hepatic duct. Intraoperative cholangiography confirmed the anomalous anatomy, and the operation was completed safely. The postoperative course was uneventful. A cranially coursing cystic duct and subserosal continuity toward the hepatic hilum may serve as practical intraoperative warning signs of this rare anomaly and should prompt confirmation of biliary anatomy before duct division.

Indexed as

bile duct injurycystic duct anomalyintraoperative findingslaparoscopic cholecystectomymagnetic resonance cholangiopancreatographyright hepatic duct

Identifiers

PMID42434053
PMCPMC13349853

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.