An uncommon case of right hepatic duct entering cystic duct associated to multiple complications of biliary tract disease: acute pancreatitis, hepatolithiasis, acute cholecystitis and hepatic abscess.

Anatomical variations of the biliary tree pose diagnostic and treatment challenges. While most are harmless and often discovered incidentally during procedures, some can lead to clinical issues and biliary complications, making knowledge of these variants crucial to prevent surgical mishaps. Here, we present an unusual and clinically significant case.

Use of enhanced recovery after surgery protocol in laparoscopic cholecystectomy in patients with symptomatic cholelithiasis.

Objective: The objective of the study was to determine the success rate of ambulatory laparoscopic cholecystectomy with an enhanced recovery after surgery (ERAS) protocol, in patients with symptomatic cholelithiasis.

Materials And Methods: Prospective cohort of patients with symptomatic cholelithiasis underwent elective surgery at the General and Endoscopic Surgery Division of the General Hospital "Dr. Manuel Gea González" from July 2015 to September 2017.