右肝胆道系统的罕见解剖变异。
Rare anatomic variations of the right hepatic biliary system.
作者信息
Garg Shallu, Kumar Hemanth, Sahni Daisy, Yadav T D, Aggarwal Anjali, Gupta Tulika
机构信息
Department of Anatomy, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Department of General Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
出版信息
Surg Radiol Anat. 2019 Sep;41(9):1087-1092. doi: 10.1007/s00276-019-02260-5. Epub 2019 May 21.
PURPOSE
To report rare and clinically significant anatomic variations in the biliary drainage of right hepatic lobe.
METHODS
Unique variations in the extra- and intrahepatic biliary drainage of right hepatic lobe were observed in 6 cadaveric livers during dissection on 100 formalin-fixed en bloc cadaveric livers.
RESULTS
There was presence of aberrant drainage of right segmental and sectorial ducts in four cases and of accessory right posterior sectorial duct in two cases.
CONCLUSIONS
We encountered some extensively complicated biliary drainage of right hepatic lobe, unsuccessful recognition of which can lead to serious biliary complications during hepatobiliary surgeries and biliary interventions.
目的
报告右肝叶胆汁引流罕见且具有临床意义的解剖变异。
方法
在对100具福尔马林固定的整体尸体肝脏进行解剖时，在6具尸体肝脏中观察到右肝叶肝外和肝内胆汁引流的独特变异。
结果
4例存在右段和扇形胆管的异常引流，2例存在副右后扇形胆管。
结论
我们遇到了一些右肝叶极其复杂的胆汁引流情况，未能识别这些情况可能导致肝胆手术和胆道介入期间出现严重的胆道并发症。
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