Hepatobiliary and Pancreatic Surgery Unit, The University of Ottawa, The Ottawa Hospital, 501 Smyth Road, Box 202, Ottawa, Ontario K1H8L6, Canada.
Hepatobiliary and Pancreatic Surgery Unit, The University of Ottawa, The Ottawa Hospital, 501 Smyth Road, Box 202, Ottawa, Ontario K1H8L6, Canada.
Surg Clin North Am. 2019 Apr;99(2):163-174. doi: 10.1016/j.suc.2018.12.005.
"The anatomy of the biliary tree is notoriously variable. This variation is the bane of the hepatobiliary surgeon, to whom an understanding of biliary anatomic variation is key to the planning and safe conduct of liver surgery, from oncological resections to split-liver transplantation. The hepatic diverticulum, also termed "the liver bud," is the first semblance of the biliary system in the human embryo. A variety of techniques used in the mid twentieth century for imaging the biliary tree have since been abandoned in favor of more practical, safer, less invasive, and more sensitive and specific contemporary methods."
胆管树的解剖结构变化多端，这是令肝胆外科医生感到头疼的问题。理解胆管解剖结构的变化是进行肝脏手术规划和安全实施的关键，包括肿瘤切除和劈离式肝移植等。憩室，也称为“肝芽”，是人类胚胎中胆管系统的最初形态。二十世纪中叶曾用于胆管成像的各种技术已被废弃，取而代之的是更实用、更安全、侵入性更小、更敏感和更特异的当代方法。
