Morphological expression of the extrahepatic bile duct. A study in a sample of Colombian mestizo population
Background: The great variability of the extrahepatic bile duct (EBD) has clinical-surgical implications. The objective of this study was to characterize the morphological expressions of EBD. Methods and findings This descriptive study, done by injecting a semi-synthetic (Palatal GP40L 85%; styren...
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| Veröffentlicht in: | International archives of medicine 2018-10, Vol.11 |
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| creator | Saldarriaga Tellez, Bladimir Corzo Gomez, Edgar Giovanni Forero Porras, Pedro Luis Ballesteros Acuña, Luis Ernesto |
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Background: The great variability of the extrahepatic bile duct (EBD) has clinical-surgical implications. The objective of this study was to characterize the morphological expressions of EBD.
Methods and findings
This descriptive study, done by injecting a semi-synthetic (Palatal GP40L 85%; styrene 15%) impregnated with mineral green dye into the gallbladder, to determine the anatomical characteristics and the biometrics of EBD in 33 blocks formed from the supra-mesocolic floor.The gallbladder presented a length of 66.9 ± 1.7 mm. The Hartmann´s Pouch was observed in 16 specimens (50%). The lengths of the cystic duct (CD), common hepatic duct (CHD) and common bile duct (choledoch duct) were 27.8 ± 1.6 mm, 28.6 ± 11.39 mm and 60.6 ± 11.6 mm respectively.
The presence of accessory hepatic ducts (AHD) was found in three samples (9.1%). In 29 specimens (87.9%) the cystic duct presented medium length, while in 4 cases (12.1%) the CD was long (P < 0, 05). The trajectory of the lateral oblique of CD was present in 23 cases (69.7%), with statistically significant differences in relation to the other trajectories of the CD (P |
| doi_str_mv | 10.3823/2585 |
| format | Article |
| fullrecord | <record><control><sourceid>crossref</sourceid><recordid>TN_cdi_crossref_primary_10_3823_2585</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>10_3823_2585</sourcerecordid><originalsourceid>FETCH-LOGICAL-c645-c0b912e94a6dce90ebb6f1a96ab90c753490ea7afee05041559c57def2bacba23</originalsourceid><addsrcrecordid>eNpNkD1PwzAYhC0EEqXlP3hgTbGT2EnGquJLKmLpHr12XhNDElt2IlF-Pa5gYLrTne6Gh5ANZ9uizov7XNTigqx4JURWyTq__OevyU2MH4xJXpdyRT5fXfC9G9y71TBQ_PIBY7Ruos7QuceUzAF69DBbTZUdkHaLnrd0R-O8dCdqJwo0wuhTkyb7dDUqCxMdMc7221Hv_DKktZs25MrAEPH2T9fk-Phw3D9nh7enl_3ukGlZikwz1fAcmxJkp7FhqJQ0HBoJqmG6EkWZMqjAIDLBSi5Eo0XVockVaAV5sSZ3v7c6uBgDmtYHO0I4tZy1Zz7tmU_xA5hXWas</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Morphological expression of the extrahepatic bile duct. A study in a sample of Colombian mestizo population</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Saldarriaga Tellez, Bladimir ; Corzo Gomez, Edgar Giovanni ; Forero Porras, Pedro Luis ; Ballesteros Acuña, Luis Ernesto</creator><creatorcontrib>Saldarriaga Tellez, Bladimir ; Corzo Gomez, Edgar Giovanni ; Forero Porras, Pedro Luis ; Ballesteros Acuña, Luis Ernesto</creatorcontrib><description>
Background: The great variability of the extrahepatic bile duct (EBD) has clinical-surgical implications. The objective of this study was to characterize the morphological expressions of EBD.
Methods and findings
This descriptive study, done by injecting a semi-synthetic (Palatal GP40L 85%; styrene 15%) impregnated with mineral green dye into the gallbladder, to determine the anatomical characteristics and the biometrics of EBD in 33 blocks formed from the supra-mesocolic floor.The gallbladder presented a length of 66.9 ± 1.7 mm. The Hartmann´s Pouch was observed in 16 specimens (50%). The lengths of the cystic duct (CD), common hepatic duct (CHD) and common bile duct (choledoch duct) were 27.8 ± 1.6 mm, 28.6 ± 11.39 mm and 60.6 ± 11.6 mm respectively.
The presence of accessory hepatic ducts (AHD) was found in three samples (9.1%). In 29 specimens (87.9%) the cystic duct presented medium length, while in 4 cases (12.1%) the CD was long (P < 0, 05). The trajectory of the lateral oblique of CD was present in 23 cases (69.7%), with statistically significant differences in relation to the other trajectories of the CD (P <0, 05). In 18 samples (55%) the cystic-hepatic union appeared at the level of the middle third of the EBD, while in 15 (45%) cases the union of the CD was low (P<0,05).
Conclusions
The mathematical distribution of the segments of the EBD, carried out in this study, provides reliability to the assessment of the cystic-hepatic junction level. The presence of CHA and the level of the cysto-hepatic junction are important anatomical references, especially in emergency room procedures.</description><identifier>ISSN: 1755-7682</identifier><identifier>EISSN: 1755-7682</identifier><identifier>DOI: 10.3823/2585</identifier><language>eng</language><ispartof>International archives of medicine, 2018-10, Vol.11</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c645-c0b912e94a6dce90ebb6f1a96ab90c753490ea7afee05041559c57def2bacba23</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Saldarriaga Tellez, Bladimir</creatorcontrib><creatorcontrib>Corzo Gomez, Edgar Giovanni</creatorcontrib><creatorcontrib>Forero Porras, Pedro Luis</creatorcontrib><creatorcontrib>Ballesteros Acuña, Luis Ernesto</creatorcontrib><title>Morphological expression of the extrahepatic bile duct. A study in a sample of Colombian mestizo population</title><title>International archives of medicine</title><description>
Background: The great variability of the extrahepatic bile duct (EBD) has clinical-surgical implications. The objective of this study was to characterize the morphological expressions of EBD.
Methods and findings
This descriptive study, done by injecting a semi-synthetic (Palatal GP40L 85%; styrene 15%) impregnated with mineral green dye into the gallbladder, to determine the anatomical characteristics and the biometrics of EBD in 33 blocks formed from the supra-mesocolic floor.The gallbladder presented a length of 66.9 ± 1.7 mm. The Hartmann´s Pouch was observed in 16 specimens (50%). The lengths of the cystic duct (CD), common hepatic duct (CHD) and common bile duct (choledoch duct) were 27.8 ± 1.6 mm, 28.6 ± 11.39 mm and 60.6 ± 11.6 mm respectively.
The presence of accessory hepatic ducts (AHD) was found in three samples (9.1%). In 29 specimens (87.9%) the cystic duct presented medium length, while in 4 cases (12.1%) the CD was long (P < 0, 05). The trajectory of the lateral oblique of CD was present in 23 cases (69.7%), with statistically significant differences in relation to the other trajectories of the CD (P <0, 05). In 18 samples (55%) the cystic-hepatic union appeared at the level of the middle third of the EBD, while in 15 (45%) cases the union of the CD was low (P<0,05).
Conclusions
The mathematical distribution of the segments of the EBD, carried out in this study, provides reliability to the assessment of the cystic-hepatic junction level. The presence of CHA and the level of the cysto-hepatic junction are important anatomical references, especially in emergency room procedures.</description><issn>1755-7682</issn><issn>1755-7682</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNpNkD1PwzAYhC0EEqXlP3hgTbGT2EnGquJLKmLpHr12XhNDElt2IlF-Pa5gYLrTne6Gh5ANZ9uizov7XNTigqx4JURWyTq__OevyU2MH4xJXpdyRT5fXfC9G9y71TBQ_PIBY7Ruos7QuceUzAF69DBbTZUdkHaLnrd0R-O8dCdqJwo0wuhTkyb7dDUqCxMdMc7221Hv_DKktZs25MrAEPH2T9fk-Phw3D9nh7enl_3ukGlZikwz1fAcmxJkp7FhqJQ0HBoJqmG6EkWZMqjAIDLBSi5Eo0XVockVaAV5sSZ3v7c6uBgDmtYHO0I4tZy1Zz7tmU_xA5hXWas</recordid><startdate>20181021</startdate><enddate>20181021</enddate><creator>Saldarriaga Tellez, Bladimir</creator><creator>Corzo Gomez, Edgar Giovanni</creator><creator>Forero Porras, Pedro Luis</creator><creator>Ballesteros Acuña, Luis Ernesto</creator><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20181021</creationdate><title>Morphological expression of the extrahepatic bile duct. A study in a sample of Colombian mestizo population</title><author>Saldarriaga Tellez, Bladimir ; Corzo Gomez, Edgar Giovanni ; Forero Porras, Pedro Luis ; Ballesteros Acuña, Luis Ernesto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c645-c0b912e94a6dce90ebb6f1a96ab90c753490ea7afee05041559c57def2bacba23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><toplevel>online_resources</toplevel><creatorcontrib>Saldarriaga Tellez, Bladimir</creatorcontrib><creatorcontrib>Corzo Gomez, Edgar Giovanni</creatorcontrib><creatorcontrib>Forero Porras, Pedro Luis</creatorcontrib><creatorcontrib>Ballesteros Acuña, Luis Ernesto</creatorcontrib><collection>CrossRef</collection><jtitle>International archives of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saldarriaga Tellez, Bladimir</au><au>Corzo Gomez, Edgar Giovanni</au><au>Forero Porras, Pedro Luis</au><au>Ballesteros Acuña, Luis Ernesto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Morphological expression of the extrahepatic bile duct. A study in a sample of Colombian mestizo population</atitle><jtitle>International archives of medicine</jtitle><date>2018-10-21</date><risdate>2018</risdate><volume>11</volume><issn>1755-7682</issn><eissn>1755-7682</eissn><abstract>
Background: The great variability of the extrahepatic bile duct (EBD) has clinical-surgical implications. The objective of this study was to characterize the morphological expressions of EBD.
Methods and findings
This descriptive study, done by injecting a semi-synthetic (Palatal GP40L 85%; styrene 15%) impregnated with mineral green dye into the gallbladder, to determine the anatomical characteristics and the biometrics of EBD in 33 blocks formed from the supra-mesocolic floor.The gallbladder presented a length of 66.9 ± 1.7 mm. The Hartmann´s Pouch was observed in 16 specimens (50%). The lengths of the cystic duct (CD), common hepatic duct (CHD) and common bile duct (choledoch duct) were 27.8 ± 1.6 mm, 28.6 ± 11.39 mm and 60.6 ± 11.6 mm respectively.
The presence of accessory hepatic ducts (AHD) was found in three samples (9.1%). In 29 specimens (87.9%) the cystic duct presented medium length, while in 4 cases (12.1%) the CD was long (P < 0, 05). The trajectory of the lateral oblique of CD was present in 23 cases (69.7%), with statistically significant differences in relation to the other trajectories of the CD (P <0, 05). In 18 samples (55%) the cystic-hepatic union appeared at the level of the middle third of the EBD, while in 15 (45%) cases the union of the CD was low (P<0,05).
Conclusions
The mathematical distribution of the segments of the EBD, carried out in this study, provides reliability to the assessment of the cystic-hepatic junction level. The presence of CHA and the level of the cysto-hepatic junction are important anatomical references, especially in emergency room procedures.</abstract><doi>10.3823/2585</doi></addata></record> |
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| title | Morphological expression of the extrahepatic bile duct. A study in a sample of Colombian mestizo population |
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