Hepatobiliary and pancreatic surgery: Strasberg classification: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Hepatobiliary and pancreatic surgery: Strasberg classification

Sample item

After laparoscopic cholecystectomy a patient has bile in the drain from a leak at the cystic duct stump with the common bile duct intact. Which Strasberg type is this?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Type A

Strasberg type A is a leak from the cystic duct or a duct of Luschka. B is occlusion of an aberrant right sectoral duct, C is transection without ligation of it, D is lateral injury to a main duct, and E is circumferential injury to the main duct (classified by Bismuth E1 to E5).

Option by option

  • A. Type D

    Type D is a partial lateral injury of a main duct.

  • B. Type C

    Type C is transection of an aberrant right duct.

  • C. Type A (correct)

    Correct. A cystic stump leak with intact main duct is type A.

  • D. Type E

    Type E is complete main duct injury.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is C, Type A. Strasberg type A is a leak from the cystic duct or a duct of Luschka.

Why is "Type D" not the answer?

Type D is a partial lateral injury of a main duct.

Why is "Type C" not the answer?

Type C is transection of an aberrant right duct.

Why is "Type E" not the answer?

Type E is complete main duct injury.

What concept does this question test?

It tests Hepatobiliary and pancreatic surgery: Strasberg classification in General Surgery. B is occlusion of an aberrant right sectoral duct, C is transection without ligation of it, D is lateral injury to a main duct, and E is circumferential injury to the main duct (classified by Bismuth E1 to E5).

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Hepatobiliary and pancreatic surgery: Strasberg classification?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.