Ito M, Mishima Y, Sato T
Second Department of Surgery, Faculty of Medicine, Tokyo Medical and Dental University, Japan.
Surg Radiol Anat. 1991;13(2):89-104. doi: 10.1007/BF01623880.
Based upon the detailed dissections of the lymphatic system of four adult cadavers, the lymphatic drainage of the gallbladder was divided into three pathways. 1) The cholecysto-retropancreatic pathway, which can be regarded as the main pathway, had two routes, one running spirally and posteriorly from the anterior surface of the common bile duct to the right, and the other running almost straight down from the posterior surface of the common bile duct. At the retroportal segment, these routes converged at a large lymph node, which appeared critical as the main terminal lymph node of this pathway. We designated this node the principal retroportal node. 2) The cholecysto-celiac pathway was the route by which some of the lymphatics from the gallbladder ran to the left through the hepatoduodenal ligament to reach the celiac nodes. 3) The cholecysto-mesenteric pathway was the route by which some of the lymphatics ran to the left in front of the portal vein and connected with the nodes at the superior mesenteric root. These three pathways converged with the abdomino-aortic lymph nodes near the left renal vein; in particular, the nodes in the interaortico-caval space were considered important.
基于对四具成年尸体淋巴系统的详细解剖，胆囊的淋巴引流被分为三条途径。1）胆囊 - 胰后途径可被视为主要途径，有两条路线，一条从胆总管前表面向右螺旋状向后走行，另一条从胆总管后表面几乎垂直向下走行。在门静脉后段，这些路线在一个大淋巴结处汇合，该淋巴结作为此途径的主要终末淋巴结显得至关重要。我们将这个淋巴结命名为主要门静脉后淋巴结。2）胆囊 - 腹腔途径是胆囊的一些淋巴管通过肝十二指肠韧带向左走行到达腹腔淋巴结的路线。3）胆囊 - 肠系膜途径是一些淋巴管在门静脉前方向左走行并与肠系膜上根处的淋巴结相连的路线。这三条途径在左肾静脉附近与腹主动脉淋巴结汇合；特别是主动脉 - 腔静脉间隙的淋巴结被认为很重要。
