| Autor: |
Diaconescu, B. I., Dicu, Ioana, Sîncean, B., Lupu, Al. G., Bratu, M. R., Gheorghe, Al. Th., State, D., Lupu, G. |
| Předmět: |
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| Zdroj: |
Romanian Journal of Functional & Clinical, Macro & Microscopical Anatomy & of Anthropology / Revista Româna de Anatomie Functionala si Clinica, Macro si Microscopica si de Antropologie; 2015, Vol. 14 Issue 3, p375-379, 5p |
| Abstrakt: |
Aim: The description of the main anatomical variations of the biliary tract and the risks they involve during surgical manoeuvres required by the hepatobiliary disease. Material and method: For the study of the biliary tract we started with classical dissection on human cadavers. In addition, we had access to a collection of cholangiographies which we have analysed and compared with other clinical and surgical reports. Results: The most common variations identified in this study are those of the posterior branch of the right hepatic duct and those of the cystic duct. The firstly mentioned can open in the left branch or can join the right anterior and left hepatic ducts, forming the "triple confluence". Also, the cystic canal can have a higher insertion, sometimes in the right hepatic duct, or one on the left side of the common hepatic duct, therefore crossing it or even, in a few cases, a lower opening, the result being a very short choledoch and a fibrous tissue interposed between them. Conclusions: Most of the anomalies, except from atresia and cysts, are benign. On the other hand, if not identified, they can have serious consequences for the patient if the necessity of surgical intervention arises and inadequate ligatures or dissections are done. In conclusion, we consider that a better knowledge of the anatomy of the biliary tract is mandatory. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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