Objective: Overlooking small bile ducts between the gall bladder and liver opening directly to gall bladder may cause bile leakage after laparoscopic cholecystectomy.

Materials and Methods: A retrospective evaluation of 230 laparoscopic cholecystectomies including 8 cases of recognized and ligated subvesical bile ducts was conducted.

Results: In all of 8 patients with subvesical ducts in the gall bladder fossa, the ducts were ligated by clip or ligasure, no bile leakage was seen after operation.

Conclusions: The anatomic variation of subvesical bile ducts poses a risk during laparoscopic cholecystectomies. A careful and gentle dissection of gall bladder from the liver is elemental in recognizing and ligating small bile ducts which can be the cause of bile leakages during cholecystectomies.