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摘要: <正>胆道变异的类型繁多,包括胆囊管与肝总管并行低位汇合,胆囊管汇入右肝管、副肝管等[1]。其中副肝管又叫Luschka胆管或迷走胆管,是胚胎期肝十二指肠发育不全的常见畸形,直接连接胆囊和肝内胆管通道,常开口于胆总管,其次是右肝管和胆囊管[2]。本文报道1例较大右副肝管直接汇入胆囊管,并伴有胆囊管癌的罕见病例。1病例资料患者男性,63岁,因"间断性上腹部胀痛不适2年,加重伴
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Key words:
- gallbladder neoplasms /
- bile ducts,extrahepatic /
- cystic duct /
- case reports
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[1]CHEN LY,JI B,LIU YH,et al.One case of right accessory hepatic duct into gallbladder and low confluence of cystic duct and common hepatic duct[J].J Clin Hepatol,2015,31(10):1711-1712.(in Chinese)陈丽宇,纪柏,刘亚辉,等.右副肝管直接汇入胆囊合并胆囊管与肝总管低位汇合1例报告[J].临床肝胆病杂志,2015,31(10):1711-1712. [2]JIN L,WANG J,LI JS,et al.Aberrant bile duct injury in laparoscopic cholecystectomy[J].Chin J Hepatobiliary Surg,2005,11(3):190-191.(in Chinese)金岚,王捷,李建设,等.腹腔镜胆囊切除术时迷走胆管损伤[J].中华肝胆外科杂志,2005,11(3):190-191. [3]LI JV,LYU X,ZENG FL.Prevention and treatment of aberrant bile duct leakage after cholecystectomy[J].Zhejiang J Traumatic Surg,2014,19(3):481.(in Chinese)李建斌,吕翔,曾凡利.胆囊切除后并发迷走胆管漏预防和处理[J].浙江创伤外科,2014,19(3):481. [4]NAN YG,DING HB,LIU DL.Experience of prevention and treatment of aberrant bile duct leakage after laparoscopic cholecystectomy[J].Mod Med J China,2014,16(2):83-84.(in Chinese)南云广,丁海波,刘大林.腹腔镜胆囊切除术治疗迷走胆管损伤性胆漏的防治体会[J].中国现代医药杂志,2014,16(2):83-84. [5]SHEFFIELD KM,HAM Y,KUO YF,et al.Variation in the use of intraoperative cholangiography during cholecystectomy[J].J Am Coll Surg,2012,214(4):668-679. [6]HUNDAL R,SHAFFER EA.Gallbladder cancer:epidemiology and outcome[J].Clin Epidemiol,2014,6(1):99-109. -
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