Anderhuber F, Lechner P
Acta Anat (Basel). 1986;125(1):42-9.
Eighty-four human livers were investigated with regard to the existence of vascular communications within their biliary tracts. Even with the help of a most subtle technique we could not detect any junctions between the bile ducts, so that there is no evidence of primary anastomoses between the main lobes, between the segments, or inside the segments. In case of chronic biliary obstruction only the major ducts, e.g., up to the fourth generation, are amplified. There is an inflammatory reaction around the smaller vessels, followed by fibrosis and shrinking of the connective tissue. That is why the formation of secondary anastomoses cannot happen under pathological conditions.
对84个肝脏进行了研究，以确定其胆道内血管交通的存在情况。即便借助最精细的技术，我们也未能检测到胆管之间的任何连接，因此没有证据表明肝叶之间、肝段之间或肝段内部存在原发性吻合。在慢性胆道梗阻的情况下，只有主要胆管，例如直至第四级胆管会扩张。小血管周围会出现炎症反应，随后结缔组织纤维化并萎缩。这就是为什么在病理条件下不会形成继发性吻合的原因。
