Hepatobiliary

Question 1

Where is the gallbladder located?

Answer 1

Right between the right medial lobe and quadrate lobe (of the liver)

Question 2

When performing a cholecystectomy, where do we want to make the ligation?

Answer 2

Somewhere along the cystic duct, distal to the hepatic ducts
so bile can still travel from the liver to the duodenum

Question 3

What is a choledochotomy and when is it indicated?

Answer 3

Incision into dilated common bile duct
indications: choledocholithiasis, biliary sludge

Question 4

A 12yo sheltie presents for vomiting and on physical exam, has abdominal pain, icterus, and a fever. What’s the most likely diagnosis?

Answer 4

Biliary mucocele

Question 5

Why would we perform a cholecystoduodenostomy?

Answer 5

Biliary diversion!

(when common bile duct is NOT patent)