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通过CT滴注胆管造影术对副肝管进行术前评估。

Preoperative evaluation of accessory hepatic ducts by drip infusion cholangiography with CT.

作者信息

Ishii Hiromichi, Noguchi Akinori, Fukami Tomoyuki, Sugimoto Riho, Tada Hiroyuki, Takeshita Hiroki, Umehara Seiji, Izumi Hiroyuki, Tani Naoki, Yamaguchi Masahide, Yamane Tetsuro

机构信息

Department of Surgery, Matsushita Memorial Hospital, 5-55 Sotojima-cho, Moriguchi city, Osaka, 570-8540, Japan.

出版信息

BMC Surg. 2017 May 8;17(1):52. doi: 10.1186/s12893-017-0251-9.

DOI:10.1186/s12893-017-0251-9
PMID:28482819
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5422935/
Abstract

BACKGROUND

This retrospective study aimed to investigate the incidence of each type of accessory hepatic duct by drip infusion cholangiography with CT (DIC-CT).

METHODS

Five hundred sixty nine patients who underwent preoperative DIC-CT and laparoscopic cholecystectomy were reviewed. Accessory hepatic ducts were classified as follows: type I (accessory hepatic ducts that merged with the common hepatic duct between the confluence of the right and left hepatic ducts and the cystic duct confluence), type II (those that merged with the common hepatic duct at the same site as the cystic duct), type III (those that merged with the common bile duct distal to the cystic duct confluence), type IV (the cystic duct merged with the accessory hepatic duct), and type V (accessory hepatic ducts that merged with the common hepatic or bile duct on the left side).

RESULTS

Accessory hepatic ducts were observed in 50 patients. Type I, II, III, IV, and V accessory hepatic ducts were detected in 32, 3, 1, 11, and 3 patients, respectively. Based on their drainage areas, the accessory hepatic ducts were also classified as follows: a posterior branch in 22 patients, an anterior branch in 9 patients, a combination of posterior and anterior branches in 16 patients, a left-sided branch in 2 patients, and a caudate branch in 1 patient. None of the patients with accessory hepatic ducts suffered bile duct injuries.

CONCLUSION

There are a number of variants of the accessory hepatic duct. DIC-CT is useful to detect the accessory hepatic duct.

摘要

背景

本回顾性研究旨在通过CT滴注胆管造影术（DIC-CT）调查各型副肝管的发生率。

方法

回顾性分析569例行术前DIC-CT及腹腔镜胆囊切除术的患者。副肝管分类如下：I型（副肝管在左右肝管汇合处与胆囊管汇合处之间汇入肝总管），II型（副肝管在胆囊管汇入肝总管的同一部位汇入肝总管），III型（副肝管在胆囊管汇合处以远汇入胆总管），IV型（胆囊管汇入副肝管），V型（副肝管在左侧汇入肝总管或胆总管）。

结果

50例患者观察到副肝管。分别在32、3、1、11和3例患者中检测到I、II、III、IV和V型副肝管。根据其引流区域，副肝管也分类如下：22例为后支，9例为前支，16例为后支与前支联合，2例为左侧支，1例为尾状叶支。所有有副肝管的患者均未发生胆管损伤。

结论

副肝管有多种变异类型。DIC-CT有助于检测副肝管。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac9d/5422935/1e700e0912d7/12893_2017_251_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac9d/5422935/cf44632666bf/12893_2017_251_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac9d/5422935/885e26e84e00/12893_2017_251_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac9d/5422935/8e4a3b803b1c/12893_2017_251_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac9d/5422935/1545ab124c69/12893_2017_251_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac9d/5422935/94177b767918/12893_2017_251_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac9d/5422935/1e700e0912d7/12893_2017_251_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac9d/5422935/cf44632666bf/12893_2017_251_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac9d/5422935/f90b3c660d4b/12893_2017_251_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac9d/5422935/885e26e84e00/12893_2017_251_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac9d/5422935/8e4a3b803b1c/12893_2017_251_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac9d/5422935/1545ab124c69/12893_2017_251_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac9d/5422935/94177b767918/12893_2017_251_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac9d/5422935/1e700e0912d7/12893_2017_251_Fig7_HTML.jpg

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