International Journal of Anatomy and Research



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Type of Article: Original Research

Year: 2016 | Volume 4 | Issue 1 | Page No. 2029-2033

Date of Publication: 29-02-2016

DOI: http://dx.doi.org/10.16965/ijar.2016.138


A STUDY OF ANATOMY OF EXTRA HEPATIC DUCTS AND ITS VARIATIONS WITH CLINICAL SIGNIFICANCE

Anupama D *1, Shivaleela C 2, R Lakshmiprabha Subhash 3.

*1 Associate Professor, Department of Anatomy, Sri Siddhartha Medical College, Tumkur, Karnataka, India.
*2 Assistant Professor, Department of Anatomy, Sri Siddhartha Medical College, Tumkur, Karnataka, India.
3 Professor and Head, Department of Anatomy, Sri Siddhartha Medical College, Tumkur, Karnataka, India.

Address: Dr Anupama D, Associate Professor, Department of Anatomy, Sri Siddhartha Medical College, Tumkur, Karnataka, India. Phone: +919449217373
E-Mail:dranupama7373@gmail.com

Abstract

Background: Thorough understanding of biliary anatomy is required while performing surgical interventions in the hepato biliary system as awareness of variations in the anatomy of extra hepatic bile ducts may be important in preventing iatrogenic injury to the duct system and blood vessels during cholecystectomy & hepatic surgeries. This study describes the anatomical variations of hepatic ducts in terms of its length, breadth, number and drainage pattern and mode of termination in their extra hepatic course.
Materials and Methods: We studied 50 cadaveric specimens of Biliary tree, focusing on the variations of hepatic ducts by dissection method.
Results: The anatomy of the hepatic duct was typical in 40 specimens, atypical in 10 specimens; Accessory hepatic ducts were found in 2 cases and triple confluence in 2 cases.
Conclusion: The Hepatic duct was atypical in 20 % of cases, their delineation, before or during surgery is therefore considered to be mandatory. Thus, knowledge of the anatomical variations of the extra hepatic bile ducts is important in many surgical procedures.
KEY WORDS: Left Hepatic Duct, Right Hepatic Duct, Common Hepatic duct, Cystic duct, Bile Duct, Accessory Hepatic ducts.

References

  1. Hicken. Anatomic Variations of Extrahepatic Biliary Apparatus. Surg; Obst; Gynae1954;10:577-84.
  2. Osler.G .& Dow.R. Variations and anomalies of the biliary duct system and its associated blood supply.WestJ.Surg1945;53:316-21.
  3. Sandrini. Congenital abnormalities of bile passage.Arch of surgery1944;(1):262-66.
  4. Brewer.G.E. Anatomy of the Gallbladder region. Medical news.1903;82:821-23.
  5. Agvey.I.Rogeus. Congenital absence of Gallbladder with Choledocholithiasis.Gastroenterology.1965;48:4.
  6. Moosman. Anomalies of Biliary tract System. Surg, Obst, Gynae.1970; 82: 655-62.
  7. Eisendrath. Surg, Obst, Gynae. Operative Injury to Common hepatic & Bile Ducts. Surg, Obst, Gynae 1920;31:1-18.
  8. Lurje et al. Topography of Extra Hepatic Biliary passage. Annals of Surgery.1937; 105:161-168.
  9. Henry gray: In Gray’s Anatomy. 39th ed.Edinburgh: Elsevier.1995; p 1228-30.
  10. Ruge.E. Anomalies of Bileducts.Arch.F.Klin.Chi.1908;77:47-78.
  11. T.W.Saddler In:Langman’sMedical Embryology.10th ed.London:Lippincott Williams Wilkins;2006.p213-17.
  12. Dowdy et al. Surgical Anatomy of Pancreatic Biliary System. Surgery.1962;108(6):p 233-34.
  13. Richard Snell. Snell’s Text Book of Anatomy 5th ed.1995. p219-20.
  14. E.A.Benson, R.E.Page. A practical  reappraisal of the anatomy of the extra hepatic bileducts and arteries.British Journal of Surgery.1976;63:853-860.
  15. Daniel.N.Eisendrath. Anomalies of Bile ducts and blood vessels. Journal of American Medical Association.1918;71:864.

 

Anupama D, Shivaleela C, R Lakshmiprabha Subhash. A STUDY OF ANATOMY OF EXTRA HEPATIC DUCTS AND ITS VARIATIONS WITH CLINICAL SIGNIFICANCE. Int J Anat Res 2016;4(1):2029-2033. DOI: 10.16965/ijar.2016.138

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