Lamah M, Karanjia N D, Dickson G H
St. George's Hospital Medical School, London, United Kingdom.
Clin Anat. 2001 May;14(3):167-72. doi: 10.1002/ca.1028.
The anatomy facing a surgeon during cholecystectomy involves complex relationships between the hepatic artery, extrahepatic biliary tree, and gallbladder. A sound knowledge of the normal anatomy of the extrahepatic biliary tract is thus essential in the prevention of operative injury to it. Equally important, however, is an understanding of congenital variation of biliary and vascular anatomy, as the literature abounds with reports of specific anatomical variations, and their operative implications. This article reviews the world literature on congenital variation of extrahepatic biliary anatomy.
胆囊切除术中外科医生面对的解剖结构涉及肝动脉、肝外胆道系统和胆囊之间的复杂关系。因此，熟知肝外胆道系统的正常解剖结构对于预防术中损伤至关重要。然而，同样重要的是要了解胆道和血管解剖结构的先天性变异，因为文献中有大量关于特定解剖变异及其手术影响的报道。本文回顾了有关肝外胆道解剖结构先天性变异的世界文献。
