[의학]담낭절제술과 해부학, 담석

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담낭절제술과 해부학, 담석
수술법, 수술시 주의해야할 주변 구조물 , 담석의 일반적인 내용
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담낭절제술과 해부학, 담석
수술법, 수술시 주의해야할 주변 구조물 , 담석의 일반적인 내용

본문내용

- blood supply variation
gallbladder - cystic artery (m/c single branch of the right hepatic artery).
cystic artery - left hepatic, common hepatic, gastroduodenal, superior mesenteric arteries에서 origin.
usually located parallel and medial to the cystic duct
divide into superficial and deep branches before entering the GB.
extrahepatic biliary tree – distal : gastroduodenal, retroduodenal, and posterior superior pancreatoduodenal arteries에서 origin,
proximal : right hepatic and cystic arteries에서 origin

- hepatic duct variation
Main variations in the confluence of the left and right hepatic ducts.
A, Typical anatomy of the confluence.
B, Trifurcation of left, right anterior, and right posterior hepatic ducts.
C, Aberrant drainage of a right anterior (C1) or posterior (C2) sectoral hepatic duct into the common hepatic duct.
D–F, Less common variations in hepatic ductal anatomy.

참고 자료

http://catalog.nucleusinc.com/enlargemonographimage.php?ID=11072
http://www.inhaheart.co.kr
Sabiston p. 1598-1622
zollinger & zollinger Atlas of surgical operations p. 174-181