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Preoperative evaluation of accessory hepatic ducts by drip infusion cholangiography with CT

BACKGROUND: This retrospective study aimed to investigate the incidence of each type of accessory hepatic duct by drip infusion cholangiography with CT (DIC-CT). METHODS: Five hundred sixty nine patients who underwent preoperative DIC-CT and laparoscopic cholecystectomy were reviewed. Accessory hepa...

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Autores principales: Ishii, Hiromichi, Noguchi, Akinori, Fukami, Tomoyuki, Sugimoto, Riho, Tada, Hiroyuki, Takeshita, Hiroki, Umehara, Seiji, Izumi, Hiroyuki, Tani, Naoki, Yamaguchi, Masahide, Yamane, Tetsuro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5422935/
https://www.ncbi.nlm.nih.gov/pubmed/28482819
http://dx.doi.org/10.1186/s12893-017-0251-9
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author Ishii, Hiromichi
Noguchi, Akinori
Fukami, Tomoyuki
Sugimoto, Riho
Tada, Hiroyuki
Takeshita, Hiroki
Umehara, Seiji
Izumi, Hiroyuki
Tani, Naoki
Yamaguchi, Masahide
Yamane, Tetsuro
author_facet Ishii, Hiromichi
Noguchi, Akinori
Fukami, Tomoyuki
Sugimoto, Riho
Tada, Hiroyuki
Takeshita, Hiroki
Umehara, Seiji
Izumi, Hiroyuki
Tani, Naoki
Yamaguchi, Masahide
Yamane, Tetsuro
author_sort Ishii, Hiromichi
collection PubMed
description BACKGROUND: This retrospective study aimed to investigate the incidence of each type of accessory hepatic duct by drip infusion cholangiography with CT (DIC-CT). METHODS: Five hundred sixty nine patients who underwent preoperative DIC-CT and laparoscopic cholecystectomy were reviewed. Accessory hepatic ducts were classified as follows: type I (accessory hepatic ducts that merged with the common hepatic duct between the confluence of the right and left hepatic ducts and the cystic duct confluence), type II (those that merged with the common hepatic duct at the same site as the cystic duct), type III (those that merged with the common bile duct distal to the cystic duct confluence), type IV (the cystic duct merged with the accessory hepatic duct), and type V (accessory hepatic ducts that merged with the common hepatic or bile duct on the left side). RESULTS: Accessory hepatic ducts were observed in 50 patients. Type I, II, III, IV, and V accessory hepatic ducts were detected in 32, 3, 1, 11, and 3 patients, respectively. Based on their drainage areas, the accessory hepatic ducts were also classified as follows: a posterior branch in 22 patients, an anterior branch in 9 patients, a combination of posterior and anterior branches in 16 patients, a left-sided branch in 2 patients, and a caudate branch in 1 patient. None of the patients with accessory hepatic ducts suffered bile duct injuries. CONCLUSION: There are a number of variants of the accessory hepatic duct. DIC-CT is useful to detect the accessory hepatic duct.
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spelling pubmed-54229352017-05-12 Preoperative evaluation of accessory hepatic ducts by drip infusion cholangiography with CT Ishii, Hiromichi Noguchi, Akinori Fukami, Tomoyuki Sugimoto, Riho Tada, Hiroyuki Takeshita, Hiroki Umehara, Seiji Izumi, Hiroyuki Tani, Naoki Yamaguchi, Masahide Yamane, Tetsuro BMC Surg Research Article BACKGROUND: This retrospective study aimed to investigate the incidence of each type of accessory hepatic duct by drip infusion cholangiography with CT (DIC-CT). METHODS: Five hundred sixty nine patients who underwent preoperative DIC-CT and laparoscopic cholecystectomy were reviewed. Accessory hepatic ducts were classified as follows: type I (accessory hepatic ducts that merged with the common hepatic duct between the confluence of the right and left hepatic ducts and the cystic duct confluence), type II (those that merged with the common hepatic duct at the same site as the cystic duct), type III (those that merged with the common bile duct distal to the cystic duct confluence), type IV (the cystic duct merged with the accessory hepatic duct), and type V (accessory hepatic ducts that merged with the common hepatic or bile duct on the left side). RESULTS: Accessory hepatic ducts were observed in 50 patients. Type I, II, III, IV, and V accessory hepatic ducts were detected in 32, 3, 1, 11, and 3 patients, respectively. Based on their drainage areas, the accessory hepatic ducts were also classified as follows: a posterior branch in 22 patients, an anterior branch in 9 patients, a combination of posterior and anterior branches in 16 patients, a left-sided branch in 2 patients, and a caudate branch in 1 patient. None of the patients with accessory hepatic ducts suffered bile duct injuries. CONCLUSION: There are a number of variants of the accessory hepatic duct. DIC-CT is useful to detect the accessory hepatic duct. BioMed Central 2017-05-08 /pmc/articles/PMC5422935/ /pubmed/28482819 http://dx.doi.org/10.1186/s12893-017-0251-9 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Ishii, Hiromichi
Noguchi, Akinori
Fukami, Tomoyuki
Sugimoto, Riho
Tada, Hiroyuki
Takeshita, Hiroki
Umehara, Seiji
Izumi, Hiroyuki
Tani, Naoki
Yamaguchi, Masahide
Yamane, Tetsuro
Preoperative evaluation of accessory hepatic ducts by drip infusion cholangiography with CT
title Preoperative evaluation of accessory hepatic ducts by drip infusion cholangiography with CT
title_full Preoperative evaluation of accessory hepatic ducts by drip infusion cholangiography with CT
title_fullStr Preoperative evaluation of accessory hepatic ducts by drip infusion cholangiography with CT
title_full_unstemmed Preoperative evaluation of accessory hepatic ducts by drip infusion cholangiography with CT
title_short Preoperative evaluation of accessory hepatic ducts by drip infusion cholangiography with CT
title_sort preoperative evaluation of accessory hepatic ducts by drip infusion cholangiography with ct
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5422935/
https://www.ncbi.nlm.nih.gov/pubmed/28482819
http://dx.doi.org/10.1186/s12893-017-0251-9
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