𝔖 Bobbio Scriptorium
✦   LIBER   ✦

Analysis of the arterial supply of the extrahepatic bile ducts and its clinical significance

✍ Scribed by W.J. Chen; D.J. Ying; Z.J. Liu; Z.P. He


Publisher
John Wiley and Sons
Year
1999
Tongue
English
Weight
241 KB
Volume
12
Category
Article
ISSN
0897-3806

No coin nor oath required. For personal study only.

✦ Synopsis


The purpose of this study is to describe the arterial supply of the entire extrahepatic bile duct system. The cross-sectional area of all arteries that supply the ducts is measured under an operating microscope in 50 adult cadavers injected with red latex through the aorta. The extrahepatic bile duct system is divided into four topographic portions: cystic duct and gallbladder, right and left hepatic ducts, bile (common) duct and including its supraretroduodenal parts, and the pancreatic and intraduodenal portions. The arterial supply to each portion is carefully detailed. The ducts are supplied by more than seven arteries, of which the major arteries are the cystic artery, posterior superior pancreaticoduodenal artery, right hepatic artery, and retroportal artery. Collectively they provide 94.5% of the blood supply to the ducts. Arteries form three types of anastomotic patterns on the walls of the ducts, suggesting that ductal incisions can be made in ways that least disturb the blood supply. The patterns are: a network, a longitudinal anastomotic chain, and an arterial circle. These data emphasize the importance of the arterial supply in biliary surgery and especially the treatment of hemobilia.


πŸ“œ SIMILAR VOLUMES


Synchronous primary tumors of the extrah
✍ Kurosaki, Isao; Watanabe, Hidenobu; Tsukada, Kazuhiro; Hatakeyama, Katsuyoshi πŸ“‚ Article πŸ“… 1997 πŸ› John Wiley and Sons 🌐 English βš– 170 KB πŸ‘ 1 views

Background and Objectives: This study aims to clarify clinicopathologic characteristics of synchronous primaries of the extrahepatic bile duct and gallbladder. Understanding multiplicity and its histologic confirmation is an important step for successful surgical management. Methods: Of the 190 case

THREE-DIMENSIONAL RECONSTRUCTION OF PERI
✍ MAXWELL, P.; HAMILTON, P. W.; SLOAN, J. M. πŸ“‚ Article πŸ“… 1996 πŸ› John Wiley and Sons 🌐 English βš– 493 KB πŸ‘ 1 views

Three-dimensional (3D) reconstruction can be used to study the structural relationships between various tissue components and can help in the understanding of disease processes. Examples of perineural invasion have been reconstructed in two cases of adenocarcinoma of the extrahepatic bile duct. Nine