Fujita N, Shirai Y, Ohtani T, Tsukada K, Hirota M, Hatakeyama K
Department of Surgery, Niigata University School of Medicine, Japan.
Surg Laparosc Endosc. 1996 Dec;6(6):445-7.
We report a case of an anomalous junction of the cystic duct with the left hepatic duct found during laparoscopic cholecystectomy. Only five other patients with this anatomy have been reported. Two of these five patients had left-sided gallbladders, and the remaining patients (including ours) had their gallbladder in its normal location. Although the prevalence of this anomaly associated with left-sided gallbladders is 5.6 to 14.3%, this anomaly appears to be quite rare in patients with gallbladders in the normal position. In four cases, it was accompanied by left-sided gallbladder or low bifurcation of the common hepatic duct. This rare condition may accompany other biliary anomalies and should be kept in mind when performing cholecystectomy.
我们报告了一例在腹腔镜胆囊切除术中发现的胆囊管与左肝管异常连接的病例。此前仅报道过另外5例具有这种解剖结构的患者。这5例患者中有2例胆囊位于左侧,其余患者(包括我们的病例)胆囊位置正常。虽然这种与左侧胆囊相关的异常发生率为5.6%至14.3%,但在胆囊位置正常的患者中,这种异常似乎相当罕见。在4例病例中,它伴有左侧胆囊或肝总管低位分叉。这种罕见情况可能伴有其他胆道异常,在进行胆囊切除术时应予以考虑。