Vakili et al  noticed that caudate process duct drains into right hepatic duct (85%) and left part of caudate lobe into left hepatic duct
Left hepatic vein (LHV) was anastomosed with inferior vena cava (IVC) of the recipient, left portal vein (left portal vein) with LPV and left hepatic duct
(LHD) with LHD of the recipient.
The variation of right posterior branch draining into the left hepatic duct
was reported with a rate of about 4.
Common bile duct (CBD) was most commonly involved in 50% of cases followed by confluence of right and left hepatic duct
and pancreas in 13.
The hepatic ducts identified at the level of the hepatic duct confluence were exposed by incising the hilar plate at the base of the quadrate lobe and lowering the extrahepatic left hepatic duct
and the hepatic duct confluence.
After identifying the retracted left hepatic duct
that was the source of bile leak, a confirmatory sequential cholangiogram via transected left hepatic duct
(Figure 2-A) and through the T-tube was performed.
The left hepatic duct
near the hilar plate was included in the pericystic wall near segment 3.
The main feature of this operation is isolation of the left hepatic duct
in the place of its confluence with the right duct under the portal lamina.
The height of the injury is usually referenced by using the Bismuth scale, which gauges an injury based on its location in relationship to the confluence of the right and left hepatic duct
None of the cases documented a connection to the left hepatic duct
The proximal anastomosis should ideally be at the level of the right and left hepatic duct
confluence, without leaving a cuff of residual cyst.
MRCP showed abrupt cut off of at the level of confluence of the right and left hepatic duct
with gross intrahepatic biliary dilatation, (Fig.